Broadway Bound

North Country Center for the Arts is hosting its Broadway Bound Camp from July 8 – July 20, 2013.
This program is for students entering 1st grade through those just graduating 12th grade. The cost for
this 2 week camp is $100 for each session. (Students can be in both sessions. A teacher will be there to
supervise during the lunch hour.) Individual classes are limited to 25. Classes are grouped as follows:1st-
3rd, 4th-6th, 7th-9th, and 10th-12th grades. Students are taught by NCCA’s professional actors, direc-
tors, designers, and technicians of NCCA. At the end of the camp students will put on a show highlight-
ing the skills learned from the camp.

First through twelth graders can attend from 9AM until Noon and/or attend from 1PM to 4PM for two weeks and work to put together and perform a great show with current Papermill Theatre performers as directors, choreographers, designers and coaches.

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This camp is limited to 25 campers per class. That’s a total of 100 spots open in each session. NCCA suggests registering as early as possible to secure your camper’s place.

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Tickets for performances will go on sale the first day of the camp.

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We will be offering a shuttle for kids in the Plymouth area who are planning to attend the camp all day. The van will arrive in the parking lot of the John C. Foley Gymnasium at PSU at 8:00 am for pick up and arrive at the same location at 4:45 pm for drop off. There is a $25.00 fee for those wishing to ride in the van for the duration of the camp.

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Jean’s Playhouse is located in Lincoln, New Hampshire on Papermill Drive behind the movie theatre.

Click Here for a PDF Registration Form or sign up and pay below!

Broadway Bound Camp 2013

Please use the form below to sign up your children for Jean's Playhouse's Broadway Bound Camp

Student's Name*
FirstLast
Student's Birthdate*
Address*
Street AddressCityStateZIP Code
Grade Entering in the Fall of 2013*
School Student Attends or Will Attend in Fall of 2013*
Parents' or Guardian's Names*
Parent's or Gaurdian's Phone*
Parent's or Guardians Email*
Enter EmailConfirm Email
Emergency Contact's Name*
FirstLast
An effort will be made to contact parent or guardian first.
Emergency Contact's Phone Number*
Student's T-Shirt Size*
I give permission for my child to be photographed/videotaped for NCCA publicity.*
- Yes
- No
List Allergies, Disabilites, and Illnesses that would affect participation.*
Physician's Name
Physician's Phone
Medical Insurance Company
Insurance Phone
Insurance Policy Number
I hereby pledge for myself, my heirs, executors or administrators to waive and release all rights and claims for damages I may have against the agency. I also release the organization’s agents, assigns or officials for any and all injuries suffered by my child. Should my child be taken to the hospital for emergency purposes, I hereby grant permission to the attending physician and staff to treat my child for anesthesia, medical, x-ray, and surgical procedures as may be deemed necessary or advisable. I understand that in an emergency North Country Center for the Arts will make every attempt to communicate with me prior to use of this waiver.*
- Check If You Agree
Your Name*
Relation to Camper*
Broadway Bound Camp Session