WCT Summerstage Jr! Registration
This is the Registration Form for the Wilton Children's Theater SUMMERSTAGE JR! program. We are proud to announce that children in the program this year will be performing "DISNEY'S 101 DALMATIANS KIDS." The program is for Wilton residents who will enter GRADES 3-6 in Fall 2019. The camp will be held 9am-12:30pm, June 24 - July 12. For more information, please visit http://www.wiltonchildrenstheater.org/registration. Check Spam folder for confirmation receipt of registration form. Registration is not complete until WCT receives payment. The deadline for receipt of payment is 6pm, April 4, 2019. Please write a check for $450 to WCT and mail to PO Box 100, Wilton, CT 06897. If more students are registered than there are spots in the program, a lottery will be held. All registrants will be notified of results on April 8.
PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD.
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade Entering in Fall 2019 *
Your answer
Gender *
Your answer
T Shirt Size *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Home Phone Number with Area Code *
Your answer
Cell Phone Number with Area Code *
Your answer
Re-type Email Address *
Your answer
Please note that lottery results are NON-TRANSFERABLE. If you have two or more children registering, check the appropriate box below to reflect if they are to be treated INDEPENDENTLY or TOGETHER for lottery purposes. PLEASE NOTE: Any questions or concerns about the treatment of siblings should be addressed before this form is completed as preferences cannot be changed after the lottery is conducted. *
Required
Publicity: Your child's photo may appear on the WCT website, social media, newspapers, or in other promotional material associated with the program. If you do not wish to permit this, please check the box below:
I have read the WCT Refund Policy, Code of Conduct and Attendance, and the Discipline Policy, and agree to all of them. I will sign them along with the Health Form, and return them to WCT on the first day of the program. http://www.wiltonchildrenstheater.org/forms *
A copy of your responses will be emailed to the address you provided.
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