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Katia & Company

Non-profit theatre company

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Moana Registration

Participant name*

Preferred name and pronouns if different

Grade in fall 2025*

Parent Info

Parent name*

Parent email*

Parent phone number*

Parent phone number 2*

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

Camp Location *

Full day camp WAITLIST0

July 14-18, 9am-12 5-8 years275

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

Does your child have any allergies, medical conditions, or developmental concerns you'd like us to know about?

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

Katia & Company

503 South Palm Drive Novato, CA

tax ID 82-222-7982

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