Pilgrim Lutheran Brethren Church
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Pilgrim Musical Theatre Camp Registration
July 24th through the 29th at Pilgrim Lutheran Brethren Church!
9:00 AM to noon (10-12 on Saturday)
Performances on Sunday, July 30
at 8:30 AM and 11:00 AM Services
$10 suggested donation per child
Child's Name - 1
*
First
Last
Grade Completed
*
Select One
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
T-Shirt Size
*
Select a size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Child would like a speaking part?
*
Yes
No
Child would like a solo?
*
Yes
No
Child's Name - 2
*
First
Last
Grade Completed
*
Select One
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
T-Shirt Size
*
Select a size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Child would like a speaking part?
*
Yes
No
Child would like a solo?
*
Yes
No
Child's Name - 3
*
First
Last
Grade Completed
*
Select One
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
T-Shirt Size
*
Select a size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Child would like a speaking part?
*
Yes
No
Child would like a solo?
*
Yes
No
Child's Name - 4
*
First
Last
Grade Completed
*
Select One
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
T-Shirt Size
*
Select a size
Youth Small
Youth Mediume
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Child would like a speaking part?
*
Yes
No
Child would like a solo?
*
Yes
No
Child's Name - 5
*
First
Last
Grade Completed
*
Select One
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
T-Shirt Size
*
Select a size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Child would like a speaking part?
*
Yes
No
Child would like a solo?
*
Yes
No
Important:
Auditions will held the week of June 19th for all children interested in a speaking part or a solo. Please
click here
to prepare and schedule the audition.
*
Indicates required field
Parent Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Alternate Phone Number
*
Parent Email Address
*
Permission to release child/children to:
*
Relationship
*
Phone Number of Person
*
Emergency Contact
*
Relationship
*
Phone Number of Emergency Contact
*
Allergies? Medical or Special Needs? Please use this space to provide specific information about allergies or special needs for each child you are registering. If your child/children does not have any, please type NONE. Thank you!
*
Please use this space to provide specific information about allergies for each child you are registering. If your child/children does not have allergies, please type NONE. Thank you!
Medical Release
- Please review.
I have read and understand Pilgrim's Medical Release.
*
Yes
Media Release
- Please review.
Your preference on photo use by Pilgrim LBC
*
I grant PLBC permission to use photos of my child.
Please do not use photos of my child/children.
Submit