Curio Theatre School Registration

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A Symphony for Saint-Georges
ANNUAL GIVING 2020
Curio Theatre School
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To register, please answer the following questions:

* Indicates required field

Student's Name *

Student's Age (at time of session) *

Student's Grade *

Which school does your child attend? *

Parent or Guardian Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

Emergency Contact Number *

Main Phone Number *

Secondary Phone Number *

Parent/Guardian Email *

Please choose the program you wish to register for? *

Saturday School- Fall Saturday School- Winter Saturday School- Spring Summer Camp- Session 1 Summer Camp- Session 2

In case of emergency, do we have permission to take your child to the nearest hospital? *

Yes No

Does this student have any medical conditions we should be aware of - including dietary, seasonal, or medicinal allergies? *

So our staff can be better prepared, does this student have any physical or learning disabilities? *

How will your child be travelling to and from Curio Theatre School? *

If someone other than the parent or guardian will be picking up a student, please list the people who are authorized to pick up your child from school. *

Is your child permitted to go home alone? *

Yes No

Please let us know how you heard about Curio Theatre School. *

May we email you regarding future updates/opportunities with the Curio Theatre School? *

Yes No

Do we have permission to take photos and/or video of your child during class and final showcases for use on our website, newspaper articles, and other marketing and grant purposes? *

Yes No

SUBMIT

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