Register for 2014 Camps Register for 2014 Camps Fill in this form to register for our camps and we'll be back in touch to confirm your place and arrange a deposit. If registering more than one child please complete a separate form for each. Places are first come, first served. Name First Last Age of participant when course takes placeDate of birth DD MM YYYY Which Musical Theatre @ Côte d'Azur camp(s) do you want to attend? Charlie and the Chocolate Factory 20 - 25 April 2014 Moulin Rouge 29 June - 4 July 2014 Les Miserables 6 - 11 July 2014 Bugsy Malone 26 - 31 October 2014 Which Musical Theatre @ Beauville camp(s) do you want to attend? Matilda 12 - 18 July 2014 West Side Story 19 - 25 July 2014 The Phantom of the Opera 26 July - 1 August 2014 Which other Beauville camp(s) would you like to attend? Rock Academy 3 - 9 August 2014 Advanced Songwriting and Recording 10 - 15 August 2014, or Hip Hop and Commercial Dance 10 - 15 August 2014 Name of Parent / Guardian First Last Address Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Home TelephoneParent: Mobile or Work PhoneParent Email* Residential or Non-residential place?ResidentialNon-residentialRock Academy students only - please give 1st and 2nd choice of instrument (including vocals)Additional InformationPlease give a summary of previous experience in music, drama and dance, e.g. school choirs, shows, dance classes, rock bands etc.Is the participant a vegetarian?NoYesEats fish but not meatI confirm that the participant has personal health and travel insuranceYesAlthough Beauville Arts is fully insured, we recommend that you take out personal insurance for the participant and their belongingsTerms and Conditions* I have read and agree to Beauville Arts' terms and conditions Where did you hear about Beauville Arts?Word of mouth/recommendationSchoolWeb searchFacebookI've been beforeOtherOur Mailing List Yes, you can send me occasional, relevant mailings about Beauville Arts No, do not add me to your mailing list We will never pass your details on to a third party or bombard you with emails.Questions?Let us know here if you have any questions or contact us by email or phone +33 (0)5 53 87 72 18.