SOCIAL MEDIA CLUB ENROLLMENT FORM
Please use this form to enroll in Youtheatre Players Social Media Club
Participant First Name:
Best Street Address (incl. City and Zip):
Best Parent E-Mail Address:
Please use this space if you have any questions or need to provide us with any other relevant information:
FILL OUT FORM AND HIT SUBMIT BELOW
I AM READY!  ENROLL ME NOW!  I WILL PAY BY:
NOTES: Once you click submit you will be taken to a page that provides our address information and a link and instructions if you are paying using PayPal.



Participant Last Name:
Birthdate MM/DD/YYYY:
Participant Age Today:
Fathers Full Name:
Mother's FullName:
Stepmother's Full Name:
Stepfather's Full Name:
Best Parent Phone No.:
Whose Number Is It:
Participant Phone No.:
Participant Email Address::
Whose?:
Emergency Contact Name:
Emergency Contact Phone:
Sending check made payable to CHILDRENS PLAYTIME PRODUCTIONS to post office box. (see NOTE below)
Paying through PayPal (I know that there is a surcharge for this service).
Using the other arrangements that I HAVE ALREADY MADE with RIchard.