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registration is now closed. WAIT LIST for Showstoppers 2024 SUMMER THEATRE Roald Dahl's Willy Wonka JR.
Willy Wonka Jr is full Do you want to be on a wait list?
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Email
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Your email
Untitled Title
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
/
DD
/
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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Your answer
Actor's Home Address
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Your answer
Zip Code
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Your answer
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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Your answer
cell phone number of parent or guardian
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Your answer
Second Parent or Guardian
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Your answer
Best phone number for this parent
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Your answer
Second parent Email address (if different from yours)
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Your answer
Please list an emergency contact, in case parents and/or guardians cannot be reached. Parents are always contacted first.
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Your answer
Emergency contact's relationship to your child.
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Your answer
Emergency contact's best phone number.
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Your answer
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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Your answer
Does your child have any medical conditions, allergies, or special needs that the directors should to be aware of?
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Your answer
If so, please list
Your answer
What information or special equipment do we need while your child is in our care?
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Your answer
What is your name?
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Your answer
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 SUMMER THEATRE Show dates are
June 17 to June 28
sbshowstoppers@gmail.com
or call (805) 682-9713 for payment information.
*
yes
No, I will call or email you for more details
Enrollment is not complete until tuition is received.
(No discount is offered for credit card payment.)
Tuition is $600
Tuition is $575 if paid in full by check by May 15
No discount will be offered after May 15.
How will tuition be paid?
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I will pay a deposit of $100. by check to Showstoppers 3579 Modoc Road Santa Barbara CA
I will pay the tuition of $575 by check by May 15 (this is a $25 discount)
I will pay the balance, which is $475 by check before May 15, 2024 (this is a $25 discount)
I will pay $100 deposit Online at Square. (Please email to get the payment link.)
I will pay $500 before June 15 online at Square. (Please email to get the payment link.)
I will pay $600 online by June 15 (Please email to get the payment link.)
I will pay the tuition of $600 by check by June15
I confirm that all information I have entered is correct and complete.
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Yes
Option 2
Required
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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I agree
Required
Your legal name
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Your answer
As of today registration is closed. Do you want to be on a wait list? C
ontact Marian at sbshowstoppers@gmail.com or text 805-682-9713
yes
No
Option 3
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