Performing Arts Registration
School Year 2018-19
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Age *
Your answer
Child's Grade Level *
Your answer
Gender *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Full Mailing Address *
Your answer
Parent's Email *
Your answer
Parent's Phone *
Your answer
Phone Type *
Phone 2
Your answer
Phone 2 Type
Phone 3
Your answer
Phone 3 Type
Emergency Contact (If the parent listed above cannot be reached) *
Your answer
Emergency Contact Phone *
Your answer
Emergency Contact Phone Type *
Health Concerns/Allergies *
Your answer
If your Child has a severe Allergy it is your responsibility to make sure your child has an EpiPen with them at all times during BYL classes/tutoring. *
T-Shirt Size *
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