Youth Registration Form
Children’s Legacy Theatre, Inc. is a 501(c)(3). Our theater professionals train teens ages 14 to 18 in all the theater art disciplines. We are a year-round organization and all of our positions are paid. We also have volunteer positions that offer community service hours.

If you need additional information, please contact Jackie Carter or Jermaine Harris at (202) 710-7819. We look forward to meeting you and talking with you soon.
Name ( First Name and Last Name) *
What school do you attend?
Grade
Clear selection
DOB (Date of Birth)
MM
/
DD
/
YYYY
Mothers Name
Mothers Phone Number
Mothers E-mail Address
Fathers Name
Fathers Phone Number
Fathers E-mail Address
Emergency Contact (Name and Phone Number)
Student Home Address
Student Phone Number
Student E-mail Address
City and Zip Code
Choose a theatre arts discipline *
What are your hobbies?
Do you like community theatre? (if yes, please explain)
Comments
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