Mini Musical Registration
Schaumburg On Stage's Mini Musicals for Mini People Registration
"The Big Race" an original work by Payton Kaye and Michele Gurrieri

One Week Camp Ages 5 - 8
June 17 - June 20 10:30 am to 12:30 p.m.
1925 Wright Blvd, Schaumburg
Tuition: $100 for one child, $80 per child for each additional child in the same family
(includes daily snacks and simple costumes)

Performance/Rehearsal at Dorothy's Dance
1104 S. Roselle Rd, Schaumburg
June 21 @ 10:30 am - 11:30 am (Participant Dress Rehearsal)

Performance at Dorothy's Dance
June 21 - 11:35 am - 12 pm - includes small reception

Class size limited to 12

Participant Name *
Your answer
Participant Age *
Your answer
Parent's Name *
Your answer
Parent's Phone Number *
Your answer
Email *
Your answer
Address *
Your answer
Are there any medical issues:Allergies, Asthma, Diabetes etc. *
Required
If "Yes", Please explain:
Your answer
I hereby release Schaumburg On Stage, its employees, representatives and volunteers from any liability associated with any injury or harm incurred by my child as a result of participation in this program. I further agree that Schaumburg On Stage may use my child’s likeness with or without name, in print, photography or video for promotional purposes associated with participation in this program or any associated performances. *
I will pay the $100 registration fee: *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.