Interact Summer Theatre Camp in Palm Beach Gardens, Florida

Complete the Online Registration Form below

then Click "SEND"

to securely send your registration.

You'll hear from InterACT by e-mail within 48 hours.

Please add
interact@dramacamp.com
to your e-mail address book
to ensure that you will receive confirmation.

InterACT Mailing Address: P.O. Box 3904, Tequesta, FL 33469
561-222-4228 ~ InterACT@DramaCamp.com

Initial here that you have read and understand the InterACT Registration and Behavior Policies
Parent FIRST name & LAST name
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone	() -
Evening Phone	() -
E-mail Address
Sign me up for WinterACT! $215 (Enter YES)
Go ahead and sign me up for lunch at $6 per day (Enter number of days here.)
Use 1, 2 & 3 for Siblings
1 Student Name (First Last)
1 New (N) or Returning (R) to Interact?
1 School
1 Current Grade
1 Age
1 Birthdate MM/DD/YY	() -
1 Male/Female
1 Please list Course, Day and Time
2 Student Name (First Last)
2 New (N) or Returning (R) to Interact?
2 School
2 Current Grade
2 Age
2 Birthdate MM/DD/YY	() -
2 Male/Female
2 Please list Course, Day and Time
3 Student Name (First Last)
3 New (N) or Returning (R) to Interact?
3 School
3 Current Grade
3 Age
3 Birthdate MM/DD/YY	() -
3 Male/Female
3 Please list Course, Day and Time
Payment: Check? Cash? Visa/MC?
Card # 0000-0000-0000-0000
Expiration Date
Card Holder's Name & Address (if different from above)
Emergency Contact Information
Student Pick-up Password
Comments
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InterACT Studio Home Directions Staff, Photos and Videos Registration

InterACT Studio, Inc.
Operating InterACT Summer Theatre Camp in Palm Beach Gardens, FL
School Year classes in Jupiter, FL
Mailing Address: P.O. Box 3904, Tequesta, FL 33469
Interact@DramaCamp.com
561-222-4228

InterACT Studio, Inc.