Wilson Theater Student Information Form
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Traveler's First Name, Middle Name or Initial, Last Name *
First name must be your given name as printed on your birth certificate or driver's license!!!!!
Birthdate
MM
/
DD
/
YYYY
What color magic band would you like? *
Name as you would like it to appear on your magic band.  Enter up to 9 characters, including letters, numbers and spaces. All letters are case sensitive. *
Student Street Address
Student Cell Phone Number
Student Personal Email Address
Parent/ Guardian #1 First & Last Name
Parent/ Guardian  #1 Street Address
Parent/  Guardian #1 Phone
Parent/ Guardian #1 Email address
Parent/ Guardian #2 Name
Parent/ Guardian #2 Street Address
Parent/ Guardian #2 Phone
Parent/Guardian #2 Email Address
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