Main Street Players Summer Registration Form 2019
Student First Name *
Your answer
Student Last Name *
Your answer
Student's Birthday *
Your answer
Student's Grade in Fall 2019 *
Your answer
Show Participating In *
Required
Sex *
Shirt/Dress Size *
Your answer
Pant Size *
Your answer
Parent Phone Number *
Your answer
Student Phone Number *
Your answer
Parent Email *
Your answer
Student Email *
Your answer
Student Email *
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Health Insurance Company and Number *
Your answer
Known allergies and health or food restrictions or special needs *
Your answer
By submitting this form: I allow my child to participate in this program and hold harmless Terry Fyke's Main Street Players and their staff. In the event of an emergency and time is a factor, I authorize the Instructors to make a decision in the best interest of my child.I allow my child to participate in this program and hold harmless Terry Fyke's Main Street Players (TFSD & Arts LLC). In the event of an emergency and time is a factor, I authorize the Instructors to make a decision in the best interest of my child.
After completing the registration form please return to the website to pay online.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy