*Camper's First Name
Camper's First Name

*Camper's Last Name
Camper's Last Name

*Parent's First Name
Please input the First Name of the Parent

*Parent's Last Name
Please input the Parent's Last Name

*How Old Will You Be When Camp Starts? 12 13 14 15 16 17
Please Tell Us Your Age on July 1, 2009

*Is the Camper Male or Female? Male Female
Are you Male or Female?

*Did you attend a CityArts program or the Toronto Rock Camp before? No: This will be my first session Yes: I was at the TRC in Summer 2008
Let us know if you joined us in a past session

*How long have you been Acting / Singing / Dancing with Instruction? 6 Months or Less 1 Year 2 Years 3 Years 4 Years or Longer
Please Tell Us How Long You've Been Acting / Singing / Dancing with Instruction?

*What Is Your Strength? Acting Dancing Singing

*Do You Play Any Instruments Guitar Bass Drums Horns Keyboards Vocals None of the Above
Please Click All That Apply

Favorite bands or style of music:

*Email
Please put in a valid email address

*Primary Phone
Please Use the Format: XXX-XXX-XXXX

Mobile Phone
Please Use the Format: XXX-XXX-XXXX

*Address

*City

*Province
Please Change your Province if not Ontario

*Country
Please Change the Country in not Canada

*Postal Code

*How Did You Hear About the Us? Friend Teacher T3 Postcard CityArts Advertisement Internet

*Emergency Information
Please give us your Emergency Contact Details

*Any Health Information (Allergies, etc.) We Should Know? No Yes: If Yes, Please Fill Out Box Below!
Health Issues we should know about (Allergies, etc.)

Detailed Health Information We Should Know About:
Please specific any Health Concerns, Allergies, in this box, etc.

*I Want to Sign Up For These Programs T3 Triple Threat Workshop: One Week T3 Triple Threat Workshop: Multiple Weeks
Please let us know what TRC Program you are Registering for:

*T3 Triple Threat Workshop: Select Your Week(s) Week 1: July 13 to 17 (Pre-Registration) Week 2: July 20 to 24 Week 3: July 27 to 31 Week 4: Aug 10 to 14
Please Select Your Week(s) (Click to Select Multiple Weeks)

Do you have a CityArts Coupon or Referral Code
Please input your TRC Coupon or Referral Code

*Would you be Interested in the Media Camp and/or Art Camp? None Toronto Rock Camp Drum Workshops Guitar Workshops Keyboard Workshops Eco-Art Camp Media Camp: Film / Photo / Audio
If you are interested in our Media Camp and/or Art Camp programs, please let us know and we'll send you information.

*I have read and Agree to the Camp Policies and Terms and Conditions: No: ** Please Read the Policies and Agree by Click Yes ** Yes: I Have Read and Agree to the Camp Policies
Please read the Camp Policies and Terms

*Enter Security Code

*Required