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Limelight Registration Form
2022-2023 Registration Fees: $50 for first child and $45 for each additional child.
Additionally, a medical release, liability waiver, and code of conduct must be signed in person by parent/guardian.
*Registration fees are non-refundable.
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* Indicates required question
Email
*
Your email
First Name (Child)
*
Your answer
Last Name (Child)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Parent/Guardian #1 Name
*
Your answer
Parent/Guardian #1 Phone Number
*
Your answer
Parent/Guardian #1 Email
*
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Phone Number
Your answer
Parent/Guardian #2 Email
Your answer
Emergency Contact Name & Phone Number
*
Your answer
Returning Member?
Yes
No
Clear selection
If NEW member, please list theatrical experience (if any).
Your answer
How did you hear about Limelight Children's Theatre?
Social Media
Email
You came and saw a show.
Word of mouth
Does your child have any food allergies? If so, please list.
Your answer
Do you agree to allow Limelight Children's Theatre to use photos and/or videos of your child for promotion purposes?
*
Yes
No
Please check preferred payment method.
*
Check
Cash
Debit or Credit Card
Would you like a scholarship form? (Scholarships are limited and require approval from the Limelight Board of Directors)
Yes
No
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
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