Summer 2025 Registration Form

Summer 2025 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 2025/2026
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

YesNo
Which Play are you Signing up for?

Big Trouble Under the Big Top (Ages 11-18)Younger Kids Play (Title TBD) (Ages 6-11)
What school do you go to?
What is your favorite flavor of Ice Cream?
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!

Also, As part of our agreement to perform "Big Trouble Under the Big Top" through the pilot program with Focus on the Family, We agree to provide pictures and content from our production for promotional materials. Signing below agrees to the sharing of this material with Focus on the Family.
Parent Signature
Student Signature
Should be Empty:

Summer 2025 Student Registration Form

Please Read through the Participation Agreement on the website. Sign Below if you agree to it!