Camp Action! Registration
Please click on the Submit button to submit the form details.

* indicates required fields 
  *Name (First & Last):
  *Address (street, city, zip):
  *Phone (home & cell):
  *Parent e-mail address:
  *Child's Name:
  *Age:
  *Date of Birth:
  Camp Attending:  Summer
 Fall
 Spring
  Experience:
  Emergenecy Contact(s):
  Allergies:  Yes
 No
  Before/After Care:  Yes
 No
  Photo Release:  Yes
 No
  Scholarship Request:  Yes
 No
  *Family Income:  $0-25,000
 $25,001-40,000
 $40,001-60,000
 $60,001-75,000
 $75,001-90,000
 $90,001-up
  I want a Show T-Shirt Size ($10):  YS
 YM
 YL
 YXL
 AS
 AM
 AL
 AXL

Please click on the Submit button to send the form. Make Payment online or Mail payment to: The Octavians, 47219 Conrad E. Anderson St., Hammond, LA 70401
 
 The Octavian Foundation for the Arts is a 501(c)3 non-profit organization supported in part private donations and our patrons.
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