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Katia & Company

Non profit theatre company

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Registration

Participant name*

Preferred name and pronouns, if different

Grade in fall 2025*

Sibling participating, if any

Parent Info

Parent name*

Parent email*

Phone number 1*

Phone number 2*

Emergency phone number to contact in the event that parents cannot be reached*

Location choice*

Novato, July 7-18

Novato, July 7-18725

I have read and agree to the terms of the waiver.

Does your child have any allergies, medical conditions, or developmental concerns we should know about?

If your child has a birthday during camp, please let us know!

503 South Palm Drive Novato, CA

tax ID 82-222-7982

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