Rodgers and Hammerstein Cinderella Full Length Musical!
Ages 7 to 18 Three week program July 29-Aug 17 at Warwick Veterans Middle School Rhode Island Youth Theatre
How many students are you registering? (20% discount for siblings)
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1
2
3
Student Name (How it will appear on the program)
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First Name
Last Name
Age:
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Sibling 1 Name (How it will appear on the program)
First Name
Last Name
Age Sibling 1
Sibling 2 Name (How it will appear on the program)
First Name
Last Name
Age Sibling 2
Sibling 3 Name (How it will appear on the program)
First Name
Last Name
Age Sibling 3
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Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Youth XS
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Parent or Guardian Name 1:
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Last Name
Parent or Guardian Email 1:
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example@example.com
Parent or Guardian Name 2:
First Name
Last Name
Parent or Guardian Email 2:
example@example.com
Emergency Contact:
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First Name
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Emergency Contact Phone:
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-
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Student E-mail:
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Any custodial or medical Issues?
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If answer is yes, please explain.
Does your student need to be signed out at dismissal? If so who is approved to pick your child up?
Children with a one to one IEP in school need to have the aid or a parent present at all rehearsals and shows.Does you child have a one to one IEP?
Yes
No
Photo Release: Do you give your permission for your child's photo to be used for promotion material for RIYT?
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No
Full or Partial Payment? (If you are paying a partial payment the remainder payment is due on June 20th 2024.) [email will be sent with payment link]
Partial Payment of $325
Fully Payment of $650
Liability Release/Emergency Treatment: I certify that my child may tolerate all normal physical activity. I, the undersigned parent/guardian grant permission for my child to receive the necessary medical treatment in the event s/he sustains an injury or illness during my absence. I understand that if my child has a medical condition that requires an assigned assistant in a school setting, then either I or the child’s assistant must be present at all times. I acknowledge and understand that participation in this activity presents the possibility that my child may sustain physical injury or illness. I hereby release Rhode Island Youth Theatre, its employees, officials, and agents from any liability connected to my child’s participation in the program. -Parent/Guardian Signature
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Cinderella
$
650.00
Join RIYT for a 3 week program and a full-length Cinderlla musical! July 29-Aug 16. 9am-3pm NO CAMP Aug 12! Shows Aug 16 & 17 @ 7pm call time 5:30pm!
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