Kathie Burgin Children's Theatre Workshop Registration
Fill out this form to let us know you are coming to this year's summer camp.
Email address *
Name of Student *
Your answer
Parent/Guardian Name *
Your answer
Best Contact Number *
Your answer
Alternate Contact Number *
Your answer
Home Address *
Your answer
Emergency Contact Name and Number *
Your answer
Grade (as of 2018/2019 school year) *
Your answer
Age *
Your answer
School (as of 2018/2019 school year) *
Your answer
T-shirt size (please specify youth or adult) *
Your answer
Food Allergies or Restrictions *
We will be providing a snack. This will help us prepare.
Your answer
Health Conditions or Other Considerations *
Are there things we need to know?
Your answer
Dates Your Student Will Miss *
It's fine! We just want to make sure we don't schedule him/her to rehearse that day.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Cleveland County Schools. Report Abuse - Terms of Service