SUMMER 2018 REGISTRATION

Please fill out the form below to register for our Middle School Musical Theatre Intensive.


Student Information
STUDENT NAME *
STUDENT NAME
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?