Corella Productions Summer Camp
Broadway Babies
INFORMATION
one form per participant
Name
*
First Name
Last Name
Age
Birthday
-
Month
-
Day
Year
Date
Allergies
Special Requirements
Parent/Guardians Name
*
First Name
Last Name
Cast Member Name -
First Name
Last Name
Cast Member Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Nonrefundable Enrollment Fee
*
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Enrollment
$
25.00
Ages 2 - 5 Location: Sovereign Ballet- 2539 W 12th St, Erie, PA 16505 Parents will receive an enrollment form via email in April with a return date by May 1, 2025. Total camp cost $100.00
Quantity
1
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Enter coupon
Apply
Total
$
0.00
Credit Card
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