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Wilson Theater Student Information Form
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* Indicates required question
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!!!!!
Your answer
Birthdate
MM
/
DD
/
YYYY
What color magic band would you like?
*
Pink
Blue
Orange
Grey
Red
Green\
Purple
Yellow
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.
*
Your answer
Student Street Address
Your answer
Student Cell Phone Number
Your answer
Student Personal Email Address
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Parent/ Guardian #1 First & Last Name
Your answer
Parent/ Guardian #1 Street Address
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Parent/ Guardian #1 Phone
Your answer
Parent/ Guardian #1 Email address
Your answer
Parent/ Guardian #2 Name
Your answer
Parent/ Guardian #2 Street Address
Your answer
Parent/ Guardian #2 Phone
Your answer
Parent/Guardian #2 Email Address
Your answer
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