Summer Camp Registration Thank you for registering online. We will confirm your placement in camp and you may mail a deposit or we are happy to take a credit card by phone. Student Name* First Last Grade Level as of 09/16*T-Shirt Size*Child XSmallChild SmallChild Med.Child LargeAdult SmallAdult Med,Adult LargeAdult XLargeParent Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*E-mail*Please Select Camp(s).*Teen Camp (Gr. 7-12)Pre-Teen Camp (Gr. 5-8)Children's Camp/Session IChildren's Camp/Session IIChildren's Camp/Session I and IIBallet IntensiveTEEN CAMP ONLY I give my child permission to leave the building for breaks. I will not hold Capachione School of Performing Arts or it's employees responsible for my child's behavior when away from the building. I will not hold Capachione School or it's employees liable for any injury or damage incurred while my child is away from the building. I do not give permission for my child to leave the building during camp hours. Comments This iframe contains the logic required to handle AJAX powered Gravity Forms.