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22-23 THEATRE REGISTRATION
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https://www.studio170.net/theatre170
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SELECT CLASS(ES).
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Storytime Theatre (5-7 years)
Making It Up! (8+ years)
Required
EMAIL
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Your answer
PARENT FIRST & LAST NAME
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Your answer
STUDENT FIRST & LAST NAME
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Your answer
AGE (AS OF SEPTEMBER 1, 2022)
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Choose
5
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ADDRESS, CITY, STATE, ZIP CODE
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PHONE NUMBER
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EMERGENCY CONTACT NAME
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We will always attempt to contact a parent/guardian first in the event of any emergency; however, if we can not reach you, please list the next person we should contact.
Your answer
EMERGENCY CONTACT PHONE
*
Your answer
MEDICAL CONDITIONS/ALLERGIES OF STUDENT
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