Summer Youth Musical Theater Workshop 2019 Registration Form
PLEASE READ THIS APPLICATION CAREFULLY
Please complete the entire form. After your Online Registration has been received you can mail your Payment to:
Musicals at Richter, 100 Aunt Hack Road, Danbury, CT 06811
Student's First Name *
Student's Last Name *
Gender *
Date of Birth *
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Age as of June 2019 *
What grade will you be going into in the 2019-2020 School Year? *
I would like my child to be placed in the same group as (must be similar in grade level or age) *
Mailing Address *
City *
State *
Zip Code *
Name of Parent(s)/Guardian(s) *
Mailing Address (if Different from Above) *
Daytime Phone *
Evening Phone *
Cell Phone *
Email Address *
Emergency Information: Doctor's Name, Phone Number *
Are you a returning participant? *
Session you are enrolling in: *
Will you be needing extended hours? (Early/Late Care) *
What is the participant's T-Shirt Size? *
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