Step 1: Child Personal Information

If you have multiple children to enroll only enter one at a time.
Name of child: *
This session is only for kids aged 15 - 17
Age (In September) * Birth Date ( M / D / Y ) *
Parent or Guardian Name Home Tel
Parent Work Tel: Parent Work Tel:
Street Address: *
City * Postal Code *

Step 2: Emergency And Medical Information

Emergency Contact Name: *
Emergency Tel: *
Health Card # (optional)
Allergies: (If Any) *
Medical Conditions: (If Any) *

Step 3: Choose An Area Of Specialization

Previous Training *
Please indicate previous training in Drama, Music, Dance and Visual Art
Previous Performance *
Please indicate previous performance experience

Step 4: Referral Program
This optional program was created to encourage Manotick Arts Camp Students to refer our Performance Arts Camps to their friends.

If you refer a new student to one of our programs, you and your referral will each receive a gift card of your choice.  When you register for one of our 1- week programs, you receive a $10.00 gift card, OR a $25.00 gift card when you register for one of our 2 - week programs. In order for you both to be eligible for this Program, the person being referred must also follow through and register for a program. Gift cards will be handed out on the first day of camp.  Please Note: Each family is eligible to make three referrals.

1st Person Referred:
1st Person Telephone 1st Person Email
Choose a Reward Option
2nd Person Referred:
2nd Person Telephone 2nd Person Email
Choose a Reward Option
3rd Person Referred:
3rd Person Telephone 3rd Person Email
Choose a Reward Option