Orpheum High School Musical Theatre Awards Individual Student Questionnaire

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This form is for any individual student that would like to participate in The Orpheum High School Musical Theatre Awards that attends a school that is not currently registered to be a part of the program or who has never participated before. Through this questionnaire we will do our best to make connections at your school and get you registered to hopefully participate in our opening or closing number.

Email *

First Name *

Last Name *

Name of School *

Address of School *

Please include street number and name, city, state, and zip code

Date of Birth *

YYYY

Age *

Email *

Cell Phone Number *

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