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  2010		  


 

Register for Summer 2010 today!

ONLINE APPLICATION
THE KEVIN J. KEARINS 2010 SUMMER THEATRE CAMP
Junior Camps 6-11 yrs old
IF REGISTERING FOR MORE THAN ONE CHILD, PLEASE FILL OUT A FORM FOR EACH CHILD. AFTER SUBMITTING THIS FORM, CLICK CONTINUE SHOPPING ON BOTTOM OF PAGE AND FILL OUT FORM AGAIN.

Registration PolicyIf a camper withdraws from a session prior to June 21, 2010, then the total fee (minus 25% for administrative costs) will be refunded. There will be no refunds for any person for any reason after June 21, 2010. KJK Theatre Camp has the right to dismiss any child for behavioral problems. Money will not be refunded for days missed due to dismissal or illness.
By registering online, you indicate that you understand and agree to this policy.

 
Click here to switch to Teen Camp application
*Denotes Required Fields.

Junior A                               Qty: Price: $530.00
 Junior B                               Qty: Price: $480.00
Junior C                               Qty: Price: $480.00
CAMP D                               Qty: Price: $300.00

Registrant's Information
   
*First Name:  
*Last Name:  
*Age:  
*Sex:  
School:  
My child would like to be in the same group as:  
(Please list NO MORE than 2 children. One child MUST be the same age or one year younger/older.)
Chronic diseases, Allergies, Drug Sensitivities, or Serious Illness:
  

*PLEASE SEND A COPY OF DOCTOR'S IMMUNIZATION RECORDS*
Past KJK Workshops & Roles:
  
*Theatre/Music/Dance Experience:
  
*Talents/Likes/Fav. Broadway Musical:  
*T-Shirt Size:  

*Please indicate YOUTH or ADULT size S, M, L, or XL
Parent's Information 
*First Name:  
*Email:  
Camper's Email:  
*Daytime Phone:  
*Evening Phone:  
Emergency Contact 
 
*First & Last Name:  
*Phone:  
 
   


For Printable Application for Faxing or Mailing Options, click here.

Mail Check to:

KJK Productions

P.O. Box 827
Jefferson Valley, NY 10535


IF REGISTERING FOR MORE THAN ONE CHILD, PLEASE FILL OUT A FORM FOR EACH CHILD. AFTER SUBMITTING THIS FORM, CLICK CONTINUE SHOPPING ON BOTTOM OF PAGE AND FILL OUT FORM AGAIN.
 
KJK Productions
P.O. Box 827
Jefferson Valley, NY 10535

Phone: 914.962.6665
Fax: 914.243.2329
info@kjkproductions.org
Designed KJK Productions. © 2010 KJK Productions