Fall 2022 Show Registration Form
Sign in to Google to save your progress. Learn more
Email *
COVID-19 WARNING: An inherent risk of exposure to the novel coronavirus/Covid-19 exists in any public place where people are present. Covid-19 is a highly contagious disease that may result in personal injury, severe illness and death. According to the Centers for Disease Control and Prevention, senior citizens and persons with underlying medical conditions are especially vulnerable. Please visit the CDC’s website for its current guidance on people at increased risk for severe illness and other people who should take extra precautions. By attending BIG BREAK YOUTH STAGE Rehearsals and or performances, you voluntarily assume all risks related to exposure to Covid-19. *
Rehearsal for Spamalot will begin Saturday, August 13th.  All rehearsal are at 9:00am.                                               Performances are Nov 4-6th.                                                                                                                        Tuition is $350. Space is limited. $50 deposit is required to guarantee a spot. For questions please contact us at education@theoffcentralplayers.org 
Young Performer Information
First Name *
Last Name *
Birthdate *
MM
/
DD
/
YYYY
Age (as program start)
Gender
Clear selection
Parent/Guardian Information
Full Name *
Phone Number *
Address (full mailing address) *
Email(s) *
This is our main method of communication, please provide a valid email to receive your welcome packet. If you perfer not to receive email specify you preferred method of communication.
Emergency Contact *
Name, Relationship, Phone Number
Does your child have any dietary restrictions?
Does your child have any medical issues/non-food allergies we should be aware of?
Where did you hear about us? (ex John Smith or Facebook or Great American Teach In)
Are you registering siblings?
Clear selection
For any questions or concerns please contact us at by email at education@theoffcentralplayers.org 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms