Theatre Camp Registration | Corban University

Theatre Camp

Registration

Please complete this form and enclose a non-refundable deposit of $30 per child.

Please note, daily attendance is mandatory due to the interdependent nature of theatre.

Name:

Sex:

☐ Male ☐ Female

Grade entering this Sept:

Parent/Guardian name(s):

Email Address:

Primary Phone:

Alt. Phone:

Mailing Address:

City:

State:

Zip Code:

T-Shirt Size:

☐Child S ☐Child M ☐Child L ☐Child XL ☐Adult S ☐Adult M ☐Adult L ☐Adult XL

(We must order shirts before July 1. If we receive your registration after this date, we cannot guarantee your child will receive a camp shirt.)

Please list any special needs your student has or accommodations your student needs:

Grade groups are sometimes divided into small groups. Is there a friend you would like assigned to

your group? We will try to accommodate requests.

How did you hear about this year’s Theatre Camp (select all that apply)?

☐ Facebook ☐ Friends / Family ☐ Snail Mail ☐ E-Mail

☐ Poster (where?

) ☐ Other:

Registrations postmarked on or before May 15 will be billed an additional $195 ($225 total camp fee).

Registrations postmarked after May 15 will be billed an additional $245 ($275 total).

Admittance is subject to availability. Bill balances will be paid at check-in on the first day of camp (in

front of the Psalm Performing Arts Center).

Checks are to be made payable to Corban University and mailed to:

Corban Theatre Camp | 5000 Deer Park Dr. SE | Salem, OR 97317-9392