Register for Bootcamp

Student Information

Student Name*

First Last

Birth Date*

Age*

Student Cell Phone (if applicable)

We use this only in case of emergency on field trips.

School*

Grade Level (Fall 2021)*

Address*

Street Address Address Line 2 City State ZIP Code

First Contact*

First Last

Relationship to Student*

Email*

This email will be used to facilitate scheduling your student's audition.

Daytime Phone*

Cell Phone*

Second Contact*

First Last

Relationship to Student*

Email*

Daytime Phone*

Cell Phone*