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Camp and Class Information Requirements
REQUIRED ONLY FOR CAMP AND CLASS ATTENDEE
Date of Birth
Please enter the date as MM-DD-YYYY.
Gender
Please indicate any relevant medical or behavioral challenges the student my have. (.eg. asthma, allergies, ADD/ADHD,
diabetes). If you need to provide us with more information, please contact us at (214) 871-3300 or at
boxoffice@theatre3dallas.com
Medical/Special Needs/Allergies
Emergency Contact Information (Names, Phone Numbers and Relationship)
Pick Up Permission: Do you give your child permission to be picked up by any persons other than their parents? Please list
names. Do you give your child permission to be dismissed without a parent in order to walk home or walk to the car?
(Please be specific).