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RISING STARS REGISTRATION Form
1st & 2nd graders
$50 registration fee is required at the submission of this form.
*
Indicates required field
CHILD'S NAME
*
AGE
*
BIRTHDATE
*
TSHIRT SIZE
*
YS
YM
YL
AS
AM
AL
XL
GENDER
*
Male
Female
GRADE
*
SCHOOL
*
Allergies/Medical/Emotional/Special Needs
*
Parent/Guardian Name
*
Parent/Guardian Email
*
Parent Phone
*
Phone number we will be able to reach you during camp
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact Name
*
if parents cannot be reached
Emergency Contact Phone
*
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 $50 deposit. Please do not click submit until you are ready to do so!
Submit
Home
Classes
Broadway Babies
Rising Stars
Young JR Stars
Jr/Sr Stars
Fall Break Day Camp
Magnify
Payments
CAMPS
GREASE
The Lion King KIDS
The Lion King KIDS - Broadway Babies
Forms
Shows
Staff
connect
RPA Company