Showstoppers 2020 Summer Theatre
Our 2020 summer for ages 7 to 13 Dates and times are pending due to recent school closures. We will all dates as soon as there is a certainty that we may proceed safely.
Email *
First Name of Actor *
Last Name of Actor *
Date of Birth *
School Actor Attends *
Gender *
Age *
Actor's Home Address *
Zip Code *
Who does actor live with? *
Name of person registering Actor *
Your email address *
Your phone number *
Second Parent or Guardian *
Best phone number for this parent *
Second parent Email address (if different from yours) *
Please list an emergency contact, in case parents and/or guardians cannot be reached. Parents are always contacted first. *
Emergency contact's relationship to your child. *
Emergency contact's best phone number. *
Health Insurance carrier *
Policy # *
Doctor and Medical Group *
Doctor and Medical Group's phone number *
Does your child have any medical conditions, allergies, or special needs that the directors should to be aware of? *
If so, please list
What information or special equipment do we need while your child is in our care? *
Would you or a family member be willing to volunteer? *
What is your name? *
Will you pay tuition by check or online at Square? *
I understand that payment for the tuition of $550 must be made before enrollment is complete. *
I confirm that all information is correct and complete. *
Electronic Signature By checking "I agree" I affirm consent, and agree that: My electronic signature on this form above the same effect as if I signed this form in ink. *
Your legal name *
I am enrolling my child for 2020 Summer Theatre. Session dates will be posted soon at La Colina Jr High. Two-week session, 9 am to 2 pm. Two performances on the second Friday. or call (805) 314-1221 for payment information *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy