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Student Information Form
2023 Hopewell Memorial Jr. High Musical
Production of "Once Upon A Mattress (Youth Edition)"
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Age
*
Your answer
Grade Level
*
6
7
8
Homeroom Teacher
*
Last name only. (Please do not use Room Numbers.)
Your answer
Cast or Crew
*
Please indicate whether the student would like to be a member of the Cast or Stage Crew.
Cast Member
Stage Crew
PARENT CONTACT INFORMATION
Parent/Guardian Name(s)
*
Your answer
Street Address
*
Your answer
City / State / Zip
*
Your answer
Primary Phone
*
Your answer
Primary Phone Type
*
Cell Phone
Landline
Secondary Phone
(optional)
Your answer
Secondary Phone Type
Cell Phone
Landline
Clear selection
Primary E-mail
*
Your answer
Secondary E-mail
(optional)
Your answer
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