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Summer 2018 Registration Form

Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Please list the best phone number for us to reach you.
Second Parent/Guardian Phone Number
Second Parent/Guardian Phone Number
Second Parent/Guardian Name
Second Parent/Guardian Name
Teen's Name *
Teen's Name
Teen's Phone Number
Teen's Phone Number
Please enter if you would like for us to be able to contact your teen with Teen Intensive information and updates.
Please enter the age of the teen on the day that the Intensive begins.
Enter the grade into which your teen will be entering in the 2018-2019 school year.
If yes, please list all food allergies here. If no, please leave blank.
Billing Address *
Billing Address
How did you hear about our summer musical theatre offerings? (please select all that apply) *