MdN Theatre Family Information Form
Please fill in the boxes below with the appropriate information or check the answers that best apply:
1st Parent/Guradian Last Name *
Example: Smith
Your answer
1st Parent/Guardian First Name *
Example: Joshua
Your answer
1st Parent/Guardian Phone Number *
(Preferably cell phone)
Your answer
1st Parent/Guardian Email Address *
Your answer
1st Parent /Guardian T-Shirt Size {volunteers) *
Choose from the following:
2nd Parent/Guradian Last Name
Example: Smith
Your answer
2nd Parent/Guardian First Name
Example: Joshua
Your answer
2nd Parent/Guardian Phone Number
(Preferably cell phone)
Your answer
2nd Parent/Guardian Email Address
Your answer
2nd Parent/Guardian T-Shirt Size {volunteers)
Choose from the following:
Student's Identification Number *
Example: 13000765
Your answer
Student's Legal Last Name *
Example: Smith
Your answer
Student's Legal First Name *
Example: Joshua
Your answer
Student's Preferred First Name or Nickname
Example: Josh, not Joshua
Your answer
Student's Gender *
Choose from the following:
Student's Grade Level *
Choose from the following:
Student's Age *
Choose from the following:
Student's Birthday *
Example: (02/19/70)
Your answer
T-Shirt Size *
Choose from the following:
Student's Phone Number *
(Preferably cell phone)
Your answer
Student's Email Address *
Your answer
Which of the following classes are you registered in? *
Check all boxes that apply:
Required
Why are you taking this particular class? *
Check all boxes that apply:
Required
What expectations do you have regarding the program, or specifically this class, for the school year? *
Your answer
Within this program or class, what personal goals have you set for yourself this school year? *
Your answer
ATTENTION PARENTS:
(Please choose the selection that best descirbes you)
Submit
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