Graham Academy Senior Programs Registration - FOR ALL Senior Offerings 2018
What Senior Company Program/s is your child enrolling in?
Also Available to Senior Company Members who have enrolled in any combination of the Musical Theatre Workshop Series and/or 48 hour musicals.
Student First Name *
Your answer
Student Middle Initial *
Your answer
Student Last Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Age as of December 31 *
Your answer
Student's School this Fall *
Your answer
Student Grade this Fall *
Your answer
Street Address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
MCP: *
Your answer
Is your child a returning Graham Academy student? *
Primary Contact/Guardian Name *
Your answer
Primary Phone *
Your answer
Primary Contact/Guardian Cell Phone *
Your answer
Other Phone
Your answer
Email Address *
Your answer
Alternate Contact Name *
In case of emergency and the parent/guardian cannot be reached.
Your answer
Alternate Contact Phone Number *
Your answer
Does your child require accommodations in any areas. (ie. physical disabilities, learning disabilities, special needs, etc.) that you wish to confidentially disclose in order for the Graham Academy team to provide appropriate support? *
Your answer
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