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Season 10 Emergency Information & Health History
This information is required for all Angels on Stage participants.
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Participant and Parent Information
Participant First Name
*
Your answer
Participant Last Name
*
Your answer
Participant Date of Birth
*
Note: Angels on Stage serves individuals aged 5-22 only.
MM
/
DD
/
YYYY
Full Name, Parent/Legal Guardian
*
Your answer
Primary Email Address
Your answer
Participant Bio
*
(Please provide a brief bio of your Angel, which will appear in the program/playbill for end-of-season performance. Max. 300 characters including spaces. AoS may edit to fit.)
Your answer
Shout Out to Participant
*
(Please provide simple shout out of encouragement, which will appear in the program/playbill for end-of-season performance. Max. 100 characters including spaces.AoS may edit to fit.)
Your answer
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