Jaycee’s Playhouse
2019 registration form
Email address *
Name of Child *
Your answer
Age of Child *
Your answer
Grade Level *
Gender *
Name of Guardian *
Your answer
Relationship of Guardian *
Your answer
Guardian Phone number *
Your answer
Address *
Your answer
Insurance information *
Your answer
T-shirt Size *
Allergies or Medical Needs
Your answer
Approved Pickup list - name, contact information, relationship *
Your answer
Other skills and talents (Music and dance training, movement, artistic skills)
Your answer
Prior performance experience?
Your answer
Additional information - Phobias/fears, limitations, strengths, goals *
Your answer
All finished
That's all the information we need to register for Jaycee's Playhouse. Please click the submit button and pay your registration fee.
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