Summer Youth Musical Theatre Workshop 2018 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 *
Your answer
Student's Last Name *
Your answer
Gender *
Date of Birth *
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DD
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YYYY
Age as of June 2018 *
Your answer
What grade will you be going into in the 2018-2019 School Year? *
Your answer
I would like my child to be placed in the same group as (must be similar in grade level or age) *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Name of Parent(s)/Guardian(s) *
Your answer
Mailing Address (if Different from Above) *
Your answer
Daytime Phone *
Your answer
Evening Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Emergency Information: Doctor's Name, Phone Number *
Your answer
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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