First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
E-mail*
Date of Birth*  

Parent/Guardian Information:

First Name*
Last Name*
E-Mail Address
Daytime Phone*
Home Phone*
Cell Phone

Please list previous movement, stage combat and acting training.

Registration Option:

$400 Commuter
$650 Residential

You may choose to pay online via credit card (see instructions below) or by check.

Check Payments
Make check payable to Frostburg State University (with a note included that payment is for Savage Mountain Arts Academy-Stage Combat) and mail to:

Office of the Bursar
Frostburg State University
101 Braddock Road
Frostburg, MD 21532

Credit Card Payments
Proceed to our secure online credit card payment form by selecting Next Step below. PLEASE NOTE THE FOLLOWING:

• You will need to turn off the popup blocker on your computer in order to register.
• You should select Savage Mountain Summer Camp under "What Will You Be Paying?"
• Visa is not accepted under this system -- only Mastercard, Amex, and Discover (with a 2.65% convenience fee charged). However, there is also an online check option with no convenience fee charged.