Child’s Name: ________________________________ Age: ____ Grade: _____

Address:______________________________________________________

Phone Number: _______________ Parent Email Address: __________________

Medical Conditions/Allergies:________________________________________

____________________________________________________________

Emergency Contact(s) and phone number(s): Name:________________________________________________________Number:______________________________________________________

Who will be allowed to pick him/her up? ________________________________ ____________________________________________________________

Does your child have prior experience in the performing arts? (please circle):         

YES                NO

Has your child participated in a theatre workshop before?

YES                NO

Has your child participated in theatre or dance classes before?

YES                NO

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PLEASE JOIN US FOR A SHORT PERFORMANCE TO SHOW YOU WHAT WE HAVE BEEN WORKING ON. FRIDAY, JUNE 9 AT 11:30, WE WILL PERFORM A SHORT SONG WITH CHOREOGRAPHY, AND A SKIT, WITH CUPCAKES AND PUNCH AFTERWARDS!