Please fill in your information below to register your child for the After School Drama Class.

* 1. What is the child's name, age and grade in school?

* 2. What is the parent's name?

* 3. Please list your cell, work and home phone numbers.

* 4. What is your mailing address?

* 5. What is your email address?

* 6. Please enter an emergency contact name and phone number.

* 7. What is the emergency contact's relationship to the child?

* 8. If your child has any allergies, please list them here.

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