Enroll a Student 23-24 School Yr
Information we need on file for students, cast members, and all volunteers. 
Sign in to Google to save your progress. Learn more
Student's Name *
Student's Grade *
Student's Age *
Pronouns *
Student's School *
Parent/Guardian 1 Name *
Parent/Guardian 1 Cell Number *
Parent/Guardian 1 Alt Phone Number *
Parent/Guardian 1 Email Address *
Parent/Guardian 1 Address *
Parent/Guardian 2 Name
Parent/Guardian 2 Cell Number
Parent/Guardian 2 Alt Phone Number
Parent/Guardian 2 Email Address
How did you hear about CFTC?
Emergency Contact 1 Name *
Emergency Contact 1 Phone Number
*
Emergency Contact 1 Relationship to Student
*
Emergency Contact 2 Name
Emergency Contact 2 Phone Number
Emergency Contact 2 Relationship to Student 
Physician to be called in an emergency  *
Physician's Phone Number  *
Hospital
Health Insurance Company *
Health Insurance Policy Number *
Allergies or other Medical Limitations *
Medications, Special needs, Disabilities, or Medical Diagnoses (i.e. ADHD, Asthma, Diabetes, etc.)
*
Is there anything else we should know about your child? *
Advertising: I consent to Changing Faces Theater Company Advertising and Promotion Release, which allows the reproduction and/or use of photographs, video, or audio recordings of my student for future CFTC advertising and promotional purposes.
*
Medical Treatment: In case of an accident or an emergency, I authorize a staff member of Changing Faces Theater Company to take my child to the above-mentioned physician, or to the nearest emergency hospital, for such emergency treatment and measures as are deemed necessary for the safety and protection of the child, at my expense.
*
Parent & Student Agreement*  *
Required
Refund Policy** *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy