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Camp Registration Form
Fill out the Registration Form and mail it
with your check made out to Matthews Playhouse.
No confirmation will be sent,
but you will be notified if a camp is cancelled or changed. Camps
are
filled on a first come first served
basis. Camp size is limited, so please register early. No
registration
will be processed without
payment No coupons will be honored after registration.
Partial refunds will
be given with a three week notice of cancellation, less a $25
processing fee.
There will be a $25 fee each and every time you switch your camp
registration to another week.
Note: All students
must be the designated age by Jan. 1, 2010.
Name________________________________________________________
Age_______
Date of Birth_________________________________________
Sex M_____ F_____
Address_________________________________________________________________
City_______________________________________
State_______ Zip_______________
Parent's
Name____________________________________________________________
Home Phone__________________________ Work
Phone_________________________
Emergency Contact
Phone___________________________________________________
Please list any medical conditions, allergies or special needs
__________________________
_______________________________________________________________________
Names of other student(s) you wish to be in camp
with_____________________________
Email Address
___________________________________________________________
Camp Name_____________________________
Time_________________ Fee_______
Camp Name_____________________________
Time_________________ Fee_______
Please fill out one Registration Form per
child and mail to: Matthews Playhouse, 100 McDowell
Street,
Matthews, NC 28105 Call
(704) 846-8343 for further information
In consideration of the opportunity to
participate in the camps and programs offered by the
Matthews Playhouse, I/we release and discharge Matthews Playhouse and it's
officers, directors
and agents of and from any claims, demands, liability or damage arising
from the participation
of my child in any camps and programs sponsored by Matthews Playhouse.
Signature_________________________________________
Date_____________
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