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Showstoppers 2024 Summer Theatre
Registration
Our 2024 summer for ages 7 to 14. Dates are June 17 to 28. Performances wil be on Friday, June 28, times TBA. Rehearsals and performances will be on the campus of La Coliona Jr High
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* Indicates required question
Email
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Your email
First Name of Actor
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Your answer
Last Name of Actor
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Your answer
Date of Birth
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MM
/
DD
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YYYY
School Actor Attends
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Your answer
Gender
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Male
Female
Age
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Your answer
Actor's Home Address
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Your answer
Zip Code
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Your answer
Who does actor live with?
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Both Parents
One Parent
Guardian(s)
Other:
Name of person registering Actor
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Your answer
Your email address
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Your answer
Your phone number
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Your answer
Second Parent or Guardian
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Your answer
Best phone number for this parent
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Your answer
Second parent Email address (if different from yours)
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Your answer
Please list an emergency contact, in case parents and/or guardians cannot be reached. Parents are always contacted first.
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Your answer
Emergency contact's relationship to your child.
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Your answer
Emergency contact's best phone number.
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Your answer
Health Insurance carrier
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Your answer
Policy #
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Your answer
Doctor and Medical Group
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Your answer
Doctor and Medical Group's phone number
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Your answer
Does your child have any medical conditions, allergies, or special needs that the directors should to be aware of?
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Your answer
If so, please list
Your answer
What information or special equipment do we need while your child is in our care?
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Your answer
Would you or a family member be willing to volunteer?
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Yes
No
What is your name?
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Your answer
Will you pay tuition by check or online at Square?
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I will mail a check to Showstoppers 3579 Modoc Road Santa Barbara CA 93105
I will pay online at Square.com
https://squareup.com/store/sbshowstoppers/item/spring-session
I understand that payment for the tuition of $550 must be made before enrollment is complete.
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yes
No, I will call or email you for more details
I confirm that all information is correct and complete.
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Yes
Option 2
Required
Electronic Signature By checking "I agree" I affirm consent, and agree that: My electronic signature on this form above the same effect as if I signed this form in ink.
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I agree
Required
Your legal name
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Your answer
I am enrolling my child for 2020 Summer Theatre. Session dates will be posted soon at La Colina Jr High. Two-week session, 9 am to 2 pm. Two performances on the second Friday.
sbshowstoppers@gmail.com
or call (805) 314-1221 for payment information
*
Pay online at Square
Mail check to Showstoppers 3579 Modoc Road, Santa Barbara CA 93105
A copy of your responses will be emailed to the address you provided.
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