Day Camp Registration Form

StaJe Musical Theater Summer Camp Registration Form
Musical Theater Camp runs from July 5, 2026 to July 31, 2026, Monday through Friday from 9:00 AM to 1:00 PM at The Congregational Church of Brookfield, 160 Whisconier Rd, Brookfield, CT.

Throughout camp, children will build skills in acting, singing, dancing, teamwork, confidence building, and stage presence. The program culminates in a showcase performance during the last week, giving campers the opportunity to share what they have learned on stage.
Camper's Information

Personal and Medical information
Name*

First NameLast Name
Age (at time of camp)*
Grade (entering this fall)
Youth SmallAdult SmaillYouth MediumAdult MediumYouth LargeAdult Large
List Any Allergies and Dietary Restrictions
Medications & Frequency
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian Information

(All correspondence and and invoices will be sent to this person)
Name*

First NameLast Name
Email*
example@example.com
Cell Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contacts and Authorized Pick Up Persons*
Program Payment Information

Total Cost*

Musical Theater Camp$400.00

Total $0.00

StaJe Musical Theater Summer Camp Registration Form