Holiday Program Registration Form. Parent Name * First Name Last Name Phone * (###) ### #### Email * Child 1 * First Name Last Name Gender * Male Female Non-binary Prefer not to say Current Grade * Prep 1 2 3 4 5 6 Date of Birth * MM DD YYYY Holiday Program * Holiday Drama (Prep - Grade 2) Theatre Bootcamp (Grades 3 - 6) Program Length * Day 1 Day 2 Day 3 Full Program Child 2 (If Applicable) First Name Last Name Gender Male Female Non-binary Prefer not to say Current Grade Prep 1 2 3 4 5 6 Date of Birth MM DD YYYY Holiday Program Holiday Drama (Prep - Grade 2) Theatre Bootcamp (Grades 3 - 6) Program Length Day 1 Day 2 Day 3 Full Program Emergency Contact * First Name Last Name Phone * (###) ### #### Relationship * Medical and Behavioural Conditions (If Applicable) * How did you hear about us? * Word of Mouth Google Social Media School Newsletter Do you give consent for Play on Stage to record or capture your participant for social media, newsletters and promotional material? * Yes No Registration Complete!Thank you so much for joining us at Play on Stage :)We’ll be in touch within 24 hours to provide more information about the next steps.Welcome to our Youth Drama community!
