Student's Name *

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Is your student new to StagePlay Learning? *

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Parent's Name *

if student is under 18

First Name

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Phone 1 *

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Phone 2

Student or Parent 2

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Emergency Contact *

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Emergency Contact Phone *

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Select Class *

Fall Theater Class | Pre-K - 2nd Grade | Tuesdays, Sept 9 - Nov 25 | 5:30 - 6:20pm

Fall Theater Class | 3rd - 5th Grade | Tuesdays, Sept 9 - Nov 25 | 6:30 - 7:20pm