Showstoppers 2021 Summer Theatre
Ages 6 to 14 Dates June 14 to 25 Monday thru Friday 9 am to 2 pm. La Colina Jr High
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 person registering Actor *
Your email address *
Your cell phone number *
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? *
We will strive to follow CDC Covid- 19 virus guidelines. We would appreciate your input regarding taking temperatures, social distancing, wearing masks when closer than 3 feet, or any other methods that will insure everyone that we are doing our best to keep us all safe. Which of these guidelines are important to you as a parent? Please check the statements which you would support. *
We doing 2 outdoor shows. . There are concerns that standing close together back stage, and sitting in the audience in enclosed spaces may not be a good idea for cast and audience members
Please take a moment to make a relevant suggestion.
What is your name? *
Will you pay tuition by check or online at Square? *
I understand that payment for the tuition of $550 must be made before enrollment is complete. *
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 *
I am enrolling my child for 2021 Summer Theatre. June 14 to 25 at La Colina Jr High. Two-week session, 9 am to 2 pm. or call (805) 699-6077for payment information. Showstoppers will send a link to Pay online on Square. *
A copy of your responses will be emailed to the address you provided.
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