Juniata | Camp Registration

Options

Theater Camp($350)

Non-refundable $50 fee included in registration fee.

*First Name:

*Last Name:

*Address:

*City:

*State:

*Zip:

*Telephone:

*Emergency Phone Number:

*E-Mail:

*Age:

*Grade in September:

*Gender:

Medical/dietary Restrictions:

*Medical Insurance Carrier:

*Name on Policy:

*Policy Number:

*Payment Options (please note there is a 2.75% service charge for credit card payments):

Credit

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*Please click this option to agree to the Participant Agreement:

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