101 Deposit

101 Dalmatians CAMP REGISTRATION - DEPOSIT ONLY ($150)

July 12-16, & July 19-July 23, 2021 | 1st - 4th Graders (entering 1st 2021)
Performances on July 23rd and 24th
Registration Deadline: June 1, 2021

* Indicates required field

CAMPER'S NAME *

AGE *

BIRTHDATE *

TSHIRT SIZE *

GENDER *

GRADE *

SCHOOL *

Parent/Guardian Name *

Parent Phone *

Parent/Guardian Name *

Email *

Parent Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

Emergency Contact Phone *

Does your child have Allergies/Medical/Emotional/Special Needs *

Names of those authorized to pick up your child *

How did you hear about RPA? *

ATTENTION: When you click "submit," you will be led to a page where you will pay the $150 deposit for 101 Dalmatians camp. Please do not click submit until you are ready to do so! If you would prefer to pay via check, please back out of this page and register your child via the "printed registration" option.

Submit