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KidStage Registration

Fill in the form below or print and mail our paper form.

*= Required fields

Child's Name*
Age*
Grade *

(if for summer, what grade are they entering?)
Parent/Guardian Name*
Email*
Preferred Phone*
Alternate Phone
Address *
City, State, Zip *
Emergency Contact Name *
(if parent can't be reached)
Emergency Contact Phone *
Previous theatrical training or experience
Special talents or skills
Size for free t-shirt *
 


Center on the Square has my permission to use my child’s photo (photo only, no name or other identification) for newspaper and Internet press release purposes. *


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