PilgrimLBC

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 *

T-Shirt Size *

Child would like a speaking part? *

Yes No

Child would like a solo? *

Yes No

Child's Name - 2 *

First

Last

Grade Completed *

T-Shirt Size *

Child would like a speaking part? *

Yes No

Child would like a solo? *

Yes No

Child's Name - 3 *

First

Last

Grade Completed *

T-Shirt Size *

Child would like a speaking part? *

Yes No

Child would like a solo? *

Yes No

Child's Name - 4 *

First

Last

Grade Completed *

T-Shirt Size *

Child would like a speaking part? *

Yes No

Child would like a solo? *

Yes No

Child's Name - 5 *

First

Last

Grade Completed *

T-Shirt Size *

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! *

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 *

Submit