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
Format: (000) 000-0000.
Emergency Contact Number
Format: (000) 000-0000.
Emergency Contact
Is this your first year with Creative Youth Theater
Which Play are you Signing up for?
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?
I'm Willing to Learn new Drama Skills!
Choose All That Apply (Not all apply to every show)
Additional Questions?
Please Read through the Participation Agreement on the website. Sign Below if you agree to it!
Parent Signature
Student Signature
Should be Empty:

Summer 2024 Student Registration Form