Dramus Theatre inc.
Junior membership registration
Junior details
Junior Name
*
First Name
Last Name
Date of birth
*
-
Day
-
Month
Year
Date
School
Interests
Medical information
*
Transportation to the hall
*
Other relevant information
Profile Picture
Back
Next
Parent/Guardian details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Emergency Contact details
Contact #1
Same as Parent/Guardian details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to the Junior
*
Allowed to Pick up from the Hall
*
Please Select
Yes
No
Contact #2
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to the Junior
Allowed to Pick up from the Hall
Please Select
Yes
No
Back
Next
Social media declaration
Dramus Theatre inc. Would like your permission to use images taken of you/your child for use in our advertising/promotional material for print and online.
Check all that apply
*
Facebook page
Website
Print Media
Full Face can be shown
Back of head only
First Name can be used
Name NOT to be used
I DO NOT consent
Junior Name
*
First Name
Last Name
Parent / Guardian
*
First Name
Last Name
Signature
Once you submit this form, we will assume that the form is now signed.
Back
Next
Senior Membership
As part of our membership structure all Junior members are required to have at least 1 parent / Gradian also registered as a member, we offer an adult membership ($50) this will allow you to also act. or a social membership ($25)
Copy Parent / Guardian Details
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
Once you submit this form, we will assume that the form is now signed.
Back
Next
Membership Payment
Adult $50, Junior $25, Social $25, Concession $25
Submit
Should be Empty: