Rudolph the Red Nose Reindeer Jr. Registration

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This form collects information regarding your child's registration. Please email questions to contact@nwyouththeatre.org

Please fill this out and then proceed to the link on the confirmation page for payment through the Paypal. You are considered officially registered once the payment is processed. Registration will be taken on a first come, first serve basis.

Email *

Your name (person registering student) *

E-mail address *

Child's first name *

Child's last name *

Student's age *

T-Shirt Size? *

Child Size Medium

Child Size Large

Adult Small

Adult Medium

Adult Large

Adult XL

Other:

Parent's name (if different from person registering child)

Mailing Address *

Contact phone number *

Alternate phone number

Medical consent and release of liability

I, the undersigned parent or guardian of this student, a minor, do hereby authorize the directors and teachers of Northwest Youth Theatre (NYT) as agents for the undersigned to consent to medical treatment in an emergency. I hereby release and discharge NYT from any and all claims for personal injuries.

I agree

Option 2

Required

Does your student have any allergies /other medical concerns that the teaching staff should be aware of? *

Is there anything additional you would like the instructor's to know about your student?

Photo/Video release form: I grant Northwest Youth Theatre (NYT) permission to capture my student's image and likeness in photographs, video, recordings, or any other media (collectively “Images”). I acknowledge that NYT will share and distribute images with other families and reserves the right to utilize images within NYT promotional materials (print, website, and social media) *

I agree to the above terms.

Required

Please type full name (This constitutes an electronic signature) *

Please submit the form. On the confirmation pop-up there will be a link to Paypal tuition fees.

Send me a copy of my responses.

Submit

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