EmailMe Form - HTAC 2024 Cabaret Camp(s) Form

Camper's Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Date of Birth
Grade
School
Parent's Name
First Last
Parent's Name
First Last
Email
Home Phone Number
### - ### - ####
Cell Phone Number
### - ### - ####
Work Phone Number
### - ### - ####
Emergency Contact Name
First Last
Emergency Contact Phone Number
### - ### - ####
Allergies
Camp Package: Please Check
$500 for Teen Cabaret
$400 for Junior Stars Cabaret
A $100 non refundable deposit will be taken at the time of registration.
Payment *
Visa
Mastercard
Discover
Credit Card

Card Number

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
By checking this box I authorize HTAC to charge my card *
Agree
Haddonfield Theater Arts Center requires a Credit Card to be on file for all students. Payment for camp is due on the campers first day of camp.
By submitting this form I hereby state that:

1) I understand the payment policy of H.T.A.C.

2) I release all members of the Haddonfield Theater Arts Center staff and any other party involved in the organization and administration of Haddonfield Theater Arts Center from any liability as a result of any injury sustained in or around Haddonfield Theater Arts Center venue.
Name
First Last
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