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Music and Drama Camp On-line Registration
Registration: (please enter information for one child at a time):
1.
*

Name of 1st Child ($25):

2.
* Entering Grade: (1 required)
Kindergarten 1st
2nd 3rd
4th 5th
3.
* T-Shirt Size:
4.
* Parent (Guardian/Contact):
5.
* Your Email Address:
6.
* Emergency Phone Number:
7.
Medical Conditions/Comments:
8.

Name of 2nd Child ($25):

9.
Grade Entering (2nd Child):
10.
T-Shirt Size (2nd Child):
11.

Name of 3rd Child ($25):

12.
Grade Entering (3rd Child):
13.
T-Shirt Size (3rd Child):
14.
*

Registration Fee: [please select one]

(1 required)
I am able to pay the full registration fee for Music and Drama Camp ($25 per child)
I am able to pay the full registration fee and will be donating [the amount specified below] to the scholarship fund.
I am able to pay [the amont specified below].
15.

Scholarship Fund Donation:

16.

Amount I am able to pay for Music and Drama Camp registration:

Please mail registration fee to: Olympia CRC Attn: Music and Drama Camp 2121 Log Cabin Rd. SE Olympia, WA 98501 To reserve a spot in Music and Drama Camp your payment will be due June 30 [please pay as soon as possible if you are able].

 When we have received your on-line registration you will receive a confirmation email.

Type in the text that you see above:
  

Olympia Christian Reformed Church
2121 Log Cabin Rd SE  |  Olympia, WA 98501
Phone: (360) 357-4439  |
olycrcsec@juno.com

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