Pocono Mountains Performing Arts Camp 2021 Application
If you have any trouble with the form, please call Dan at (845) 282-0469
First Name
*
Last Name
*
Birthday
*
Gender
*
Female
Male
Prefer not to answer
School
*
Grade
*
Student Email Address
*
Student Cell Phone
*
Parent/Guardian Name
*
Parent/Guardian Name (2)
Type N/A if Not Applicable
Parent/Guardian Email Address
*
Parent/Guardian Cell Phone
*
Emergency Contact (if different from above)
Music Teacher Name
*
Music Teacher Email Address
*
What are you most interested in?
*
Musical Theater
Acting
Voice
Recording
How did you hear about the program?
*
Why do you want to be a part of this program?
*
What is your performance experience?
*
How many years have you been performing?
*
As the parent/guardian of the applicant, I agree to allow my student to apply for the programs checked above.
*
I agree
Submit
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