Newfoundland to Broadway Registration Form Newfoundland to Broadway – Registration Form 2023 Student Name* First Last Age*Please enter a number from 8 to 19.Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Enter Email Confirm Email School & Grade attending as of Sept 2023* MCP with Expiry (Year/Month/Day)* Parent/Guardian's Name* First Last Parent/Guardian's Cell Phone*Other Parent/Guardian's Name (if applicable) First Last Other Parent/Guardian's Cell PhoneA deposit of $100.00 for each camp can by made through an e-transfer to newfoundlandtobroadway@gmail.com. Note that registration is not complete until your deposit is received by Newfoundland to Broadway.Camp dates*Please check your preferred camp dates. All camps are $300.00. Camp Dates Camp A July 10-14 Camp B July 17-21 Camp C July 24-28 Special RequestsMedical, behavioral, physical, or allergy concerns we should be made aware of.