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Showstoppers 2024 Spring After School
Registration for Gilbert & Sullivan's Comic Opera The Mikado
Ages 7 to 14 Dates January 16 to April 4 (no rehearsal during SBUSD spring break)
Tuition is $550
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Email
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Your email
First Name of Actor
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Your answer
Last Name of Actor
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Your answer
Date of Birth
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MM
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DD
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YYYY
School Actor Attends
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Your answer
Gender
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Male
Female
Age when session starts
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Actor's Home Address
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Zip Code
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Who does actor live with?
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Both Parents
One Parent
Guardian(s)
Other:
Name of parent or guardian registering Actor
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Your answer
email address of parent or guardian
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cell phone number of parent or guardian
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Second Parent or Guardian
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Best phone number for this parent
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Second parent Email address (if different from yours)
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Please list an emergency contact, in case parents and/or guardians cannot be reached. Parents are always contacted first.
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Emergency contact's relationship to your child.
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Emergency contact's best phone number.
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Health Insurance carrier
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Your answer
Policy #
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Your answer
Doctor and Medical Group
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Your answer
Doctor or Medical Group's phone number
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Does your child have any medical conditions, allergies, or special needs that the directors should to be aware of?
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If so, please list
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What information or special equipment do we need while your child is in our care?
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What is your name?
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I understand that payment for the tuition must be made before enrollment is complete.
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yes
No, I will call or email you for more details
I am enrolling my child for 2024 Spring After School
Jan. 16 to April 4 Tuesday & Thursday
4 to 6 pm On the campus of La Colina Jr High
Show dates April 5 & 6. 2024
sbshowstoppers@gmail.com
or call (805) 682-9713 for payment information.
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yes
No, I will call or email you for more details
Enrollment is not complete until tuition is received.
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I am sending a check for $550
I will bring a check for $550to the first rehearsal
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I confirm that all information I have entered is correct and complete.
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Electronic Signature By checking "I agree" I affirm consent, and agree that: My electronic signature on this form above the same effect as if I signed this form in ink.
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