Register for STA's Movie Night

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Event Timing: Friday Nights in January 2023
Contact us at info@scrippstheatrearts.com

January 6 "The Greatest Showman" (PG)

January 13 "Into The Woods" (PG)

January 20 "Hairspray" (PG)

Student Name *

Student DOB *

YYYY

Parent/Guardian Email *

Parent/Guardian Phone *

Does the student have any food allergies that staff should be aware of?

Emergency Contacts. LIST UP TO THREE including full name and phone number:

Parent Agreement: I understand that if my child is being disruptive or not following Scripps Theatre Arts' rules of respect, they may be asked to leave. I agree to pick up my child prior to the of the event if this occurs. If I am unavailable, one of the emergency contacts listed above may be called to pick up my child.

Yes

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