Main Street Players Online Registration Form - Anastasia Broadway Connection Workshop
Please fill out all fields to ensure that information is transmitted. Please submit separate forms for each student.
Student's Name *
Your answer
Student's Birthday *
MM
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DD
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Student's Grade in fall 2019 *
Your answer
Student Phone
Your answer
Student's Address *
Your answer
Student Email
Your answer
Parent's Name *
Your answer
Parent Email *
Your answer
Parent Phone *
Your answer
Emergency Contact *
Your answer
Health Insurance Company and Number *
Your answer
Known Allergies or Food Restrictions
Your answer
Student's Dress/Shirt Size *
Your answer
Student's Pants Size *
Your answer
How did you hear about Main Street Players? *
Required
Today's Date *
MM
/
DD
/
YYYY
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