KIDSTAGE REGISTRATION FORM
Kidstage Productions
First Name of Child *
Last Name of Child *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Grade in Fall of 2021 *
School Attending
Parent/Guardian 1 First Name *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 Cell Phone Number *
Parent/Guardian 1 Email Address *
Please Verify Email Address Again *
Child's Home Address *
City, State, Zip
Parent/Guardian 2 First and Last Name (optional)
Parent/Guardian 2 Cell Phone Number (optional)
Emergency Contact Name Other than Parent 1 *
Emergency Contact Number Other than Parent 1 *
Child's Height (in feet' and inches" for costuming purposes) *
Child's Weight (for costuming purposes) *
T-Shirt Size *
Please select your permission below *
Tuition for this production is $500.00 which includes theater, vocal and dance preparation and training, t-shirt, cast picture and pizza party.
Press SUBMIT to submit form. Please be sure to check our website mid-July for specific audition information - www.kidstage.org. Thank you for registering for Kidstage!
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