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Registration Somnium Camp

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Student's Information

Student's Name*
All students will participate in mural installation, flow arts, and prop design but each student will elect a focus for their internship and work with artists in that field, creating something to contribute to the final SOMNIUM production.
MM slash DD slash YYYY
SNAP Participant?*
Student's Address*

Parent/Guardian's Information

Parent/Guardian's Name*

Emergency Information

Emergency Contact's Name*
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Photography/Media Acknowledgment

BY ACKNOWLEDGING AND TYPING MY NAME BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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