2017 Spring Registration
Please complete this form after paying the $95.00 online registration fee to secure a slot for your child in our upcoming season.
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Student's Age: *
Required
Student's Birthday: *
MM
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DD
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YYYY
What Are You Registering For?: *
Sibling's First Name:
Your answer
Sibling's Last Name:
Your answer
Sibling's Age:
Student's Birthday: (sibling)
MM
/
DD
/
YYYY
What Are You Registering For?: (Sibling)
Parent / Guardian's First Name: *
Your answer
Parent / Guardian's Last Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Home Telephone: *
Your answer
Cell Phone: *
Your answer
Work Telephone:
Your answer
Email Address (primary - to be used for most communications and roster): *
Your answer
Email Address (secondary - can be added upon request to roster etc...):
Your answer
How Did You Hear About All About Theatre?: *
Does Your Child Have Any Known Absences / Conflicts? (if so please list below):
Your answer
Does The Sibling Have Any Known Absences / Conflicts? (if so please list below):
Your answer
How Would you Like to Pay The Remaining Tuition Balance?: *
Are You Applying For a Scholarship, Work Trade or Deferred Payment Plan?: *
Please Tell Us about Any Allergies or Medical Conditions That You Feel Appropriate:
Your answer
Please Enter Details For Emergency Contact Person (in addition to the parent/guardian): *
Your answer
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