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ACT Kids Registration
Kids Ages 10-16
Tuesdays from 6:00pm-7:00pm at Alliance Community Church
October 11, 2022 - January 28, 2023
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Family Name
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Full Mailing Address
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Main Phone#
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Guardian #1 - Name
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Cell Phone #
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Email Address
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Guardian #2 - Name
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Cell Phone #
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Email Address
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Emergency Contact
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Relationship
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Phone #
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Child #1 - Name
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Allergies or Medical Concerns
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Birthdate
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Age
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Grade
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Child #2 - Name
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Allergies or Medical Concerns
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Birthdate
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Age
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Grade
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Please communicate any past theatre experience and any personal preferences your child(ren) have when it comes to performance and theatre (ie. acting, tech, design, singing)!
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