SMAK 2017 - Registration
August 7-11, 2017
9:00 a.m. - 3:00 p.m.
For children completed K-5th
Registration Fee: $100
Registration Deadline: July 10
Child's First Name
Your answer
Child's Last Name
Your answer
Parent/Guardian Name (Last, First)
Your answer
Child's age
Your answer
Child's Last Grade Completed
(at the end of this school year)
Your answer
Tshirt Size
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
Emergency Contact #1
(Name and best phone number)
Your answer
Emergency Contact #2
(Name and best phone number)
Your answer
Medical Information
Food allergies or other medical information that we need to know.
Your answer
Would you like to audition for Solo/Drama Role/Dance Team?
May we have permission to photograph your child for the purpose of promotion?
Submit
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