Parent or Guardian Name:
Parent's or Guardian's email:
Phone numbers:
Mailing address
Student's Name:
Male
Female
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Age:
Which class are you registering for?
Act I A ages 7-11 Tues & Thurs 4:00-5:30 p.m.
Act II B ages 7-11 Tues & Thurs 5:30-7:00 p.m.
Act II ages 12-18 Mon & Wed 4:00-6:00p.m.
Are there any medical
or other special needs
we need to be aware
of?
Enrolling in the class grants The Theater Factory permission to use your child's photo in advertisements for the
theater. We will not print his name in the advertisements.