One-Act Camp Registration

 

CAMP FULL-- Please fill out the form below if you would like to be on the WAITLIST for Ashland's 2016 Summer Camps

Parent Name *
Parent Name
Phone
Phone
1st Participant's Name *
1st Participant's Name
Gender
Additional information about your child that would be helpful for us to know.
2nd Participant's Name
2nd Participant's Name
Gender
Additional information about your child that would be helpful for us to know.
3rd Participant's Name
3rd Participant's Name
Gender
Additional information about your child that would be helpful for us to know.
4th Participant's Name
4th Participant's Name
Gender
Additional information about your child that would be helpful for us to know.
Is there anything else you would like to tell us about your child(ren)?
How do you describe yourself?
How much total combined money did all members of your HOUSEHOLD that are EIGHTEEN years of age or older earn in 2015?
Media Release
By checking this box, Ashland Productions has permission to use my child's picture or video in a general article, photo and/or video about Ashland Productions programs, marketing materials, in the news media or on the Ashland Productions website or social media.