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Virginia Children's Theatre Summer Camp               at the Historic Masonic Theatre
The information gathered below will be used for costuming, emergency situations and to get ready for the show! 
All information will be kept confidential.
Child's Name *
Child's Age *
Child's Gender *
T Shirt Size (identify youth or adult) *
Allergies
Guardian's Name *
Guardian's Phone Number *
Emergency Contact Name (other than Guardian)
Emergency Contact Phone Number (other than Guardian)
List of people who may pick up or drop off child
Early Drop off
Late Pick Up
Prześlij
Wyczyść formularz
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Ten formularz został utworzony w domenie Historic Masonic Theatre Preservation Foundation. Zgłoś nadużycie
Formularze Google