West Middle School CAPA Audition: Saturday, February 2nd, 2019: Application, Consent and Registration Form
You are registering for Middle School CAPA Auditions to be held Saturday, February 2nd, 2019. The Auditions will take place at West Middle School, 1900 N. Rockton Avenue, 61103. If you have any questions about the form below please email julie.hindenburg@rps205.com or heather.psaltis@rps205.com.
Email address *
First Name *
Please use legal name of child.
Your answer
Last Name *
Please use legal name of child.
Your answer
Student's Middle Name
Please use legal name of child.
Your answer
RPS 205 Student ID # (If student does not have an ID#, please leave blank)
Your answer
Street Number: (Example: 2415) *
Your answer
Street Prefix: If there is no prefix, please leave this blank.
Street Name: Please state your street name. *
Your answer
Street Type: Please state your street type. *
Apartment Number: (Example: Apt. 205) If there is no apartment number, please leave blank.
Your answer
City *
State *
Zip Code *
Student's Date of Birth *
MM
/
DD
/
YYYY
Gender *
Current School: 2018-2019 School Year *
Required
Current Grade: 2018- 2019 School Year *
Student's Phone Number (If there is no student phone, please use parent phone) *
(xxx-xxx-xxxx)
Your answer
Student's Email Address (If there is no student email, please use parent email) *
Your answer
Race (optional)
Choose one or more.
Language Spoken in the Home *
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