NEW JERSEY SCHOOL OF DRAMATIC ARTS

2016 SUMMER CAMP REGISTRATION FORM

 NAME _____________________________________________________     GRADE _______ 
      
 STREET ADDRESS _____________________________________________________________ 
 
 CITY_________________________________     STATE _______     ZIP ___________ 
 
  PHONE:    DAY ________________    EVENING _________________  CELL_________________

 EMAIL___________________________________________

                                                                                                                                    
_____KIDS ON STAGE (Grades 3 -5): $1025.00

_____SUMMERSTAGE (Grades 6 - 12): $1275.00
 

 _____TWEENS SPECIALTY CAMPS: Check Choice(s): 
          
                Session 1_____   Session 2_____    Session 3: _____       Session 4____                   

 TEEN SPECIALTY CAMPS: Check Choice(s): 
                     
                Session 1_____   Session 2_____    Session 3: _____   Session 4: _____           

                                  
 ____________________
I have read  and agree to the PAYMENT AND REFUND POLICIES.
  
Signature of Parent or Guardian
 
   METHOD OF PAYMENT:  $100.00 Deposit (Kids On Stage / SummerStage Camp) _____  
                                                          
                                                $50.00 Deposit per camp(Tween - Teen Specialty Camps) ______
 
            Check / Money Order# _______  Amount  $________  
(payable to NJ School of Dramatic Arts)
 
 
            **Credit Card: Visa /MasterCard /Discover # _________________________________________

                 **Charge the above Credit Card :  $____________                      
 
                     Name on credit card ___________________________________  Expiration Date______________
 
                     Signature of card owner ___________________________________________________

 MAIL TO: NJ SCHOOL OF DRAMATIC ARTS, 593 Bloomfield Avenue, Bloomfield, NJ  07003