REGISTRATION FORM

CAST# enrolled in:

Student Last Name:

Student First Name:

Student Email (Optional):

Grade:

School :

Home Address:

City, State:

Zip Code:

Name of Parent / Caregiver #1:

Cell Phone Number:

Email Address:

Name of Parent / Caregiver #2:

Cell Phone Number:

Email Address:

Student’s Physician’s Name:

Health Concerns, please describe:

Allergies, please describe:

Schedule Conflicts, describe:

Liability Disclaimer/Photo Release:

 

 

 

 

 

Matilda Saturday Rehearsal Conflicts

RIDGEFIELD THEATER BARN KIDS SPRING 2019

STUDENT NAME_____________________ CAST #_______

PARENT NAME / PHONE # ________________________________________

Please note every Saturday rehearsal conflict that falls between 9:00AM and 1:30PM on these dates:

SAT. SEPT 7________________________________

SAT. SEPT 14________________________________

SAT. SEPT 21________________________________

SAT. SEPT 28________________________________

SAT. OCT 5________________________________

SAT. OCT 12__________________________________

SAT. OCT 19_________________________________

DRESS REHEARSALS OCT 19 THROUGH 27, KEEP THIS ENTIRE WEEK AVAILABLE

IMPORTANT:

BRING THIS COMPLETED FORM TO OUR FIRST CLASS