PantoLand 2017 Participant Info

PantoLand Academy is a five-day creative summer workshop for children aged 5 to 10. Taking place onstage at The Cultch Theatre, the program provides local kids with the opportunity to learn from the East Van Panto’s creative team what it takes to put on a Panto. http://eastvanpanto.ca/pantoland/

Participant 1

Full Name *

Birth Date (yyyy/mm/dd) * +

Please indicate which week you would like to sign up for (Choose one). *

Week 1 (July 31 - Aug 4)

Week 2 (Aug 8 - 12)

Returning participant? *

Yes

Other information you would like us to know?

Participant 2

Full Name

Birth Date (yyyy/mm/dd) +

Please indicate which week you would like to sign up for (Choose one)

Week 1 (July 31 - Aug 4)

Week 2 (Aug 8 - 12)

Returning Participant?

Yes

Other information you would like us to know?

Adult Primary Contact

Relationship to Participants: *

Mother

Father

Guardian

Other Other

Full Name *

Address 1 *

Address 2

City *

Prov. *

Zip *

Phone *

Email Address *

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