Please complete, print and mail this form with your check to Calvary Lutheran Church
Name:
Address:
City/State/Zip:
Home Phone:
Cell Phone:
Parents' Names:
Day Phone:
Emergency Contact:
Day Phone:
Sex:
Male Female
Age:
I am registering for:
Grade in School: Fall 2006
Instruments:
Voice:
 List Repertoire (optional):
 Other Areas of Performing Arts:
   
OTHER AREAS OF INTEREST:
Acting Musical Theatre
Audition Techniques Small Ensemble
Dance Technical Theatre
Movement Vocal Technique
PRIVATE LESSONS:
Instrumental Lessons Vocal Lessons
(Private lessons are included for registered campers.
Non-campers may participate in private lessons for $25/per half-hour lesson)

Photo Release:
(to be signed by parent/guardian)
I grant consent to Calvary Lutheran Performing Arts Camp to use photographs, slides, video, and television involving my child. These may appear in CLPAC publications, presentations, website and/or broadcasts at large. I have read and agree to this policy.

Parent/Guardian Signature:___________________________Date______________

 


Registration for Two-Week Session:
- Before May 15, 2006: $300.00
- After May 15, 2006: $325.00

Registration for One-Week Session: (June 5-9 or June 12-16)
- Before May 15, 2006: $150.00
- After May 15, 2006: $165.00

NOTE: Tuition is non-refundable after May 26.
Please COMPLETE and PRINT this registration form. MAIL this form, along with your tuition.
Please make checks payable to Calvary Lutheran Church. (Please note CLCPAC in the memo line.)

Performing Arts Camp
Calvary Lutheran Church
7620 Baker Blvd.
Richland Hills, Texas 76118

Scholarship Information: We offer scholarships.
Please call the church office for more information. 817-284-8724