SUMMER 2018 REGISTRATION

Please fill out the form below to register for our middle school musical theatre intensive.


Student Information
STUDENT BIRTHDAY *
STUDENT BIRTHDAY
If your school was not listed, please tell us where your student attends school.
If none, write NONE.
CONTACT INFORMATION
STUDENT CELL PHONE NUMBER
STUDENT CELL PHONE NUMBER
STUDENT ADDRESS *
STUDENT ADDRESS
PARENT/GUARDIAN INFORMATION
PARENT / GUARDIAN NAME *
PARENT / GUARDIAN NAME
PARENT / GUARDIAN CELL PHONE NUMBER *
PARENT / GUARDIAN CELL PHONE NUMBER
EMERGENCY CONTACT INFORMATION
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT NAME
EMERGENCY CONTACT PHONE NUMBER *
EMERGENCY CONTACT PHONE NUMBER
ANYTHING ELSE YOU'D LIKE US TO KNOW?


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

QUESTIONS? CONTACT US HERE.