Annie Jr. Registration Form
For students ages 7-16. All registered students will be cast in scenes throughout the show.
Fee: $375. Scholarships and Sibling Discounts Available.

Rehearsals will be held at St Luke's Episcopal Church, 99 Peirce St, East Greenwich RI
Performances will be held at: RI Center for the Performing Arts (Park Theatre), 848 Park Avenue, Cranston RI

Contact ann@RIYT.org with any questions or call 401-447-0458.

Please pay online at www.riyt.org OR mail $375 payment to Ann O'Grady, 2170 Tower Hill Rd., Saunderstown, RI 02874. Make checks payable to Rhode Island Youth Theater. Confirmations will be sent to you via email.

Please fill out the form completely, listing all schedule conflicts. We will need to receive your complete list of conflicts on or before the first day of camp. Mail-in copies of this registration form are available at www.RIYT.org

Please see general rehearsal and show details below the form. Following the casting session, a detailed rehearsal schedule will be sent to all participants.
Student's Information
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Full Name for Program Listing *
Your answer
Age *
Your answer
Phone number *
Your answer
Email *
Your answer
Street Address *
Your answer
City *
Your answer
Zip *
Your answer
T-shirt Size *
Please list any conflicts with the schedule. Rehearsal schedule will accomodate students' conflicts. *
Required
Emergency Contacts
Name 1 *
Your answer
Relationship to Student *
Your answer
Phone Number *
Your answer
Email
Your answer
Name 2 *
Your answer
Relationship to Student *
Your answer
Phone Number *
Your answer
Email
Your answer
Please list any additional emergency contacts you wish included here.
Your answer
More Details
Is this your first show with RIYT? *
Does your child do gymnastics? If yes, what moves would you approve if the choreographer wishes to include gymnastics? *
Your answer
Dismissal
Dismissal Options, Check One *
People who may pick up your child. License required for ID
Your answer
Any custodial or medical issues we should know? *
Your answer
Photo Release:
A photographer may take photos of my child for promotional purposes. *
Required
Liability Release/Emergency Treatment:
I certify that my child may tolerate all normal physical activity. I, the undersigned parent/guardian grant permission for my child to receive the necessary medical treatment in the event s/he sustains an injury or illness during my absence. I understand that if my child has a medical condition that requires an assigned assistant in a school setting, then either I or the child’s assistant must be present at all times. I acknowledge and understand that participation in this activity presents the possibility that my child may sustain physical injury or illness. I hereby release Rhode Island Youth Theatre, its employees, officials,and agents from any liability connected to my child’s participation in the program. *
Required
Payment Method *
Required
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