Kid-Versionary Theatre Club
Welcome to a great partnership between Birney Elementary and your Neighborhood Theatre! Please fill in the form below for each child you are enrolling. We will be meeting in the Birney Auditorium each day. Thanks for giving your child the gift of creativity, and we will see you soon.
Your child's name
Your answer
Your child's grade
Your child's age
Your answer
Parent or Guardian Name
Your answer
Contact Information phone
Your answer
Contact Email
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Allergy / or Medical info
Your answer
Anything else about your child you would like to share
Your answer
Pick Up info
Terms of Agreement: By signing & submitting this form you agree to permit your child to attend the KId-Versionary after school program. Parents/Guardians agree to hold harmless Diversionary Theatre, its employees, volunteers & all others working on behalf of the company against any and all claims, demands, suits, and any damages asserted, claimed or recovered against the company, its elected and/or appointed officials, by reason of personal injury, including bodily injury or death and/or personal damage, which is connected with this contract. You understand it is your responsibility to arrange for adult supervision immediately after the class. ​Parent/guardian picking up MUST come to the class site to retrieve their student. Students will not be allowed to walk home without written permission.No Refunds will be made the week of the start of the class or camp.© 2017 All Products Copyrighted & All Rights Reserved, Diversionary Theatre.
Submit
Never submit passwords through Google Forms.
This form was created inside of Diversionary Theatre Productions. Report Abuse - Terms of Service - Additional Terms