REGISTRATION FORM

CAST# enrolled in:

Student Last Name:

Student First Name:

Student Email (Optional):

Grade:

School :

Street 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:

 

 

 

 

 

 

 

 

 

Broadway Scores 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. MARCH 2________________________________

SAT. MARCH 9________________________________

SAT. MARCH 16________________________________

SAT. MARCH 23________________________________

SAT. MARCH 30________________________________

SAT. APRIL 6__________________________________

SAT. APRIL 13_________________________________

SAT. APRIL 20_________________________________

SAT. APRIL 27_________________________________

DRESS REHEARSALS APRIL 27 THROUGH MAY 3, KEEP THIS ENTIRE WEEK AVAILABLE

IMPORTANT:

BRING THIS COMPLETED FORM TO OUR FIRST CLASS