Snow White Registration

Snow White Registration

July 22-Aug 2 - 9am-2pm - 11 Pier Market Pl, Narragansett RI
Child #1*

First NameLast Name
Child #1 Email
example@example.com
Child #1 Age *
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child #2

First NameLast Name
Child #2 Age
example@example.com
Child #3

First NameLast Name
Child #3 Age
example@example.com
Parent or Guardian 1*

First NameLast Name
Parent of Guardian Phone 1*
Please enter a valid phone number.
Parent or Guardian 1 Email Address*
example@example.com
Parent of Guardian 2

First NameLast Name
Parent or Guardian 2 Phone
Please enter a valid phone number.
Parent or Guardian 2 Email
example@example.com
Emergency Contact Name*
Emergency Contact Phone*
Does your child do gymnastics? What tricks can they perform?
Do you give your child permission to perform gymnastics at RTB programming?

YesNo
Do you have any food allergies?

YesNo
If yes what are they?
Will your student be signed out everyday?

YesNo
Photo Release: Do you grant permission for your child or yourself to be photographed or recorded for promotional purposes related to Rhode to Broadway content?
Liability Release/Emergency Treatment: I certify that my child can tolerate all normal physical activity. I, the undersigned parent/guardian, grant permission for my child to receive necessary medical treatment in the event they sustain 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, 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 To Broadway, its employees, officials, and agents from any liability connected to my child’s participation in the program.
My Products*
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Snow White Registration
When: July 29-Aug 2 Ages: 6-13 Location: Narragansett Casino, 11 Pier Market Pl, Narragansett RI 02882 Time:9-2 - performance at 2pm on Friday August 2! Led by: Chelsea Cook and Ruby Costa

$350.00 Quantity
Item subtotal:$0.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

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