LIMTF - HS/C Registration — Long Island Musical Theatre Festival

SUMMER 2017 REGISTRATION

Please fill out the form below to register for our High School/Collegiate program.

About You

LAST NAME

FIRST NAME

YOUR BIRTHDAY *

YOUR BIRTHDAY

YYYY

YOUR GRADE *

YOUR SCHOOL DISTRICT *

YOUR SCHOOL *

If your school was not listed, please tell us where you attend school.

YOUR VOCAL RANGE *

MOST RECENT VOCAL/THEATER TEACHER *

If none, write NONE.

PLEASE TELL US IN A BRIEF PARAGRAPH WHY YOU WANT TO BE A PART OF LIMTF SUMMER 2017 *

CONTACT INFORMATION

STUDENT E-MAIL *

STUDENT CELL PHONE NUMBER *

STUDENT CELL PHONE NUMBER

(###)

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STUDENT ADDRESS *

STUDENT ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PARENT/GUARDIAN INFORMATION

PARENT / GUARDIAN NAME *

PARENT / GUARDIAN NAME

First Name

Last Name

PARENT / GUARDIAN E-MAIL *

PARENT / GUARDIAN CELL PHONE NUMBER *

PARENT / GUARDIAN CELL PHONE NUMBER

(###)

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EMERGENCY CONTACT INFORMATION

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT NAME

First Name

Last Name

EMERGENCY CONTACT PHONE NUMBER *

EMERGENCY CONTACT PHONE NUMBER

(###)

###

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RELATIONSHIP TO APPLICANT *

ANYTHING ELSE YOU'D LIKE US TO KNOW?

SUMMER 2017 REGISTRATION

Please fill out the form below to register for our High School/Collegiate program.

PLEASE NOTE: This form is to accompany the requested audition materials.

QUESTIONS? CONTACT US HERE.