FILL OUT ALL APPLICABLE INFORMATION WITH NO SHORTHAND PLEASE, DOUBLE CHECK INFORMATION, USE REAL AGE, HEIGHT, BIRTH DATE, T-SHIRT SIZE, ETC.
USE CAPS APPROPRIATELY PLEASE.
ONCE COMPLETED - HIT SUBMIT BELOW
Participant's First Name:
Participant's Last Name:
Father's Name:
Mother's Name:
Stepfather's Name:
Stepmother's Name:
Other Legal Guardian:
Primary Street Address:
City:
State:
Zip:
Home Phone (Primary Address):
Cell Phone (Participant):
Cell Phone (Mother):
Cell Phone (Father):
Alternate Street Address:
City:
State:
Zip:
Home Phone (Alternate Address):
Particpant's E-mail Address:
Parent E-mail Address:
Work Phone (including area code):
Whose?
Birth Month/Date (mm/dd):
Birth Year (yyyy):
Height x'y":
T-Shirt Size:
School Name:
Emergency Contact Person:
Number:
By clicking submit, you are agreeing that you will comply with all requirements for participation; and that you understand that it remains within the right of the instructors to refuse continued participation in this production if you do not comply with the requirements and/or if your behavior becomes disruptive
