Showstoppers 2023 SPRING 
Ages 6 to 14   Dates January 17 to April 6
Sign in to Google to save your progress. Learn more
Email *
First Name of Actor *
Last Name of Actor *
Date of Birth *
School Actor Attends *
Gender *
Age when session starts *
Actor's Home Address *
Zip Code *
Who does actor live with? *
Name of parent or guardian registering Actor *
email address of parent or guardian *
cell phone number of parent or guardian *
Second Parent or Guardian *
Best phone number for this parent *
Second parent Email address (if different from yours) *
Please list an emergency contact, in case parents and/or guardians cannot be reached. Parents are always contacted first. *
Emergency contact's relationship to your child. *
Emergency contact's best phone number. *
Health Insurance carrier *
Policy # *
Doctor and Medical Group *
Doctor or Medical Group's phone number *
Does your child have any medical conditions, allergies, or special needs that the directors should to be aware of? *
If so, please list
What information or special equipment do we need while your child is in our care? *
What is your name? *
I understand that payment for the tuition must be made before enrollment is complete. *
I am enrolling my child for 2023 Spring After School. Show dates are April 7 & 8, 2023 or call (805) 699-6077 for payment information. 
Tuition is $525, or $475 if paid before December 15, 2022. How will tuition be paid? *
I confirm that all information I have entered is correct and complete. *
Electronic Signature By checking "I agree" I affirm consent, and agree that: My electronic signature on this form above the same effect as if I signed this form in ink. *
Your legal name *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy