Milton Theatre Registration - Due Aug 11th
Welcome to the registration site for Milton Theatre! Plan to spend 10 minutes to complete. You will need to complete this form with a parent or guardian. To participate in Cirque, a physical form signed by your doctor is required.

1) Contact Info + Photo Release Form
2) Contract of Participation {Adv Drama and Cirque Only)
3) Fulton County: Insurance + Concussion + Participation (Cirque Only)

Requirements:
* Insurance card (Cirque Only) + Credit card or PayPal Login
* For best results use a desktop computer.
* Printer for Fulton County forms (Cirque Only)
* Checkbook if paying by check.

NOTE: For those who wish to complete and send in a paper form, please contact Milton.Theate.Info@gmail.com.

Also if you have other questions such as total dues or fee amounts, please send a message to this same address.

Section 1: Student Information
First Name
Your answer
Student Last Name
Your answer
Grade for 2017-2018 Season (as of fall 2017)
Gender
T-Shirt Size
Date of Birth
MM
/
DD
/
YYYY
Address
Your answer
City
Your answer
Zip
Your answer
Home Telephone
Your answer
Student Cell Phone
Your answer
Student Email Address
Your answer
Parent / Guardian Information
Parent/Guardian Name
Your answer
Parent/Guardian 1 Address, If Different
Your answer
City
Your answer
Zip Code
Your answer
Primary Phone Number
Your answer
Send Text Messages to Number Listed Above?
Secondary Phone
Your answer
Parent/Guardian 1 Email Address
Your answer
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Address, If Different
Your answer
City
Your answer
Zip Code
Your answer
Parent/Guardian 2 Email Address
Your answer
Primary Phone
Your answer
Send Text Messages to Number Listed Above?
Secondary Phone
Your answer
Emergency Contact Info
NOTE: Please make every effort to notify us promptly if your contact information changes
Primary Emergency Contacts (Pick Two)
Required
Additional Emergency Contact Name
Your answer
Phone Number
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms