Session I 2018 Registration Form (August 27th, 2018 - January 18th, 2019)
Thank you for providing your information. It will be kept confidential. Walltown Children's Theatre is a 501(c)3 nonprofit organization (Tax ID#: 562214825) serving thousands of youth in North Carolina.
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Age *
Your answer
School *
Your answer
Allergies *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent Full Name *
Your answer
Primary Phone Number *
Your answer
Secondary Contact - Name *
Your answer
Secondary Contact - Phone Number *
Your answer
I hereby authorize the Staff and Directors representing Walltown Children's Theatre to give consent for any and all necessary emergency medical and First Aid for my child (listed above) while said child is in said individual's custody. *
How did you hear about Walltown Children's Theatre? *
Required
Today's Date *
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