Theatre Registration Form |
| Students Full Name : |
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| Gender : |
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| Date of Birth : |
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Students Full Address:
Include City, State, and Zip Code |
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| Students Home Phone : |
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| Parents Cell Phone : |
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| Grade (in fall) : |
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| School Student Attends : |
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| Parents or Guardians Names: |
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| Address if different from above : |
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| Email Address: |
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| Emergency Contact Person: |
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| Emergency Phone: |
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| Cell: |
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Check Payment Option |
| Payment : |
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Select Class(es) to Register for. Tuition $175 per class. |
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