Summer 2024 Registration Form

Summer 2024 Student Registration Form

Please send any questions to Daniel Thayer, Artistic Director- dthayer@mountvernonchristian.org
Student Name*

First NameLast Name
Parent Names*
Birth Date

MonthDayYear
Gender
Grade for 2024/2025
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Parent Email*
example@example.com
Home Phone Number*
Emergency Contact Number*
Emergency Contact
Is this your first year with Creative Youth Theater

YesNo
Which Play are you Signing up for?

An Evening of Scenes (Ages 11-18)Younger Kids Play (Title TBD) (Ages 6-11)
What school do you go to?
What is your favorite type of snack?
Have you ever done anything on stage? If so, list a few of your favorite roles!
Have you seen any CYT performances in the past?

YesNo
I'm Willing to Learn new Drama Skills!

YesNo
Choose All That Apply (Not all apply to every show)

I can Sing AloneI can sing with a groupI don't feel confident singingI Love to dance!I'm Willing to try to DanceI have two left feet!
Additional Questions?
Please Read through the Participation Agreement on the website. Sign Below if you agree to it!
Parent Signature

Clear
Student Signature

Clear
Should be Empty:

Summer 2024 Student Registration Form