Registration Form
How many children will attend?
Please Select
One child
Two children
Three children
Four children
Child #1 - Name
Child #1 - Grade
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child #2 - Name
Child #2 - Grade
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child #3 - Name
Child #3 - Grade
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child #4 - Name
Child #4 - Grade
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Name of Parent/Guardian
*
First Name
Last Name
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Preferred Phone
*
Please enter a valid phone number.
Your Email Address
*
example@example.com
Additional Emergency Contact (different from parent/Guardian)
*
First Name
Last Name
Emergency Contact Preferred Phone
*
Please enter a valid phone number.
Do your children have any food or environmental allergies? Please list here or type "none."
*
Do you have a home church or other place of worship? If so, what is the name of that place of worship?
Is there anything you want us to know about your child?
Photo/Video Release: Do we have permission to take and use photographs/videos of your child(ren) in print and online for promotional purposes?
*
Please Select
Yes
No
Are you available to support Arts Troupe by donating snack supplies or serving as an extra helper?
Submit
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