BHS Panther Playhouse Theatre Registration Form
Please complete the following form in order to finalize your registration.  
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Email *
Student Name *
Student School *
Student Grade *
T-Shirt Size *
Payment Type *
Parent Name *
Parent Phone Number *
Parent E-mail *
Parent Address *
Emergency Contact 1 (Name, Phone Number, Relation) *
Emergency Contact 2 (Name, Phone Number, Relation) *
Food Allergies *
Please share any specific medical information we may need to know.   *
If there is any additional information you need us to know, please share below.
A copy of your responses will be emailed to the address you provided.
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