Drama Kids of Northwest Florida Online Registration

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Family Information

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Zip*

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Emergency Contact Info

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Contact #1

Contact #1 First Name*

Last Name *

Type*

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Work #

Cell # *

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Contact #2

Contact #2 First Name

Last Name

Type

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Home Phone

Work #

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Student #1

Student's First Name*

Last Name*

Birth Date*

Additional Info

School

Grade Level*

Transportation

Disabilites-leave blank for N/A

Special Needs-leave blank for N/A

Allergies-leave blank for N/A

Medications-leave blank for N/A

For camps, kids need to bring a lunch, 2 snacks and a water bottle.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School

Grade Level*

Transportation

Disabilites-leave blank for N/A

Special Needs-leave blank for N/A

Allergies-leave blank for N/A

Medications-leave blank for N/A

For camps, kids need to bring a lunch, 2 snacks and a water bottle.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School

Grade Level*

Transportation

Disabilites-leave blank for N/A

Special Needs-leave blank for N/A

Allergies-leave blank for N/A

Medications-leave blank for N/A

For camps, kids need to bring a lunch, 2 snacks and a water bottle.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School

Grade Level*

Transportation

Disabilites-leave blank for N/A

Special Needs-leave blank for N/A

Allergies-leave blank for N/A

Medications-leave blank for N/A

For camps, kids need to bring a lunch, 2 snacks and a water bottle.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School

Grade Level*

Transportation

Disabilites-leave blank for N/A

Special Needs-leave blank for N/A

Allergies-leave blank for N/A

Medications-leave blank for N/A

For camps, kids need to bring a lunch, 2 snacks and a water bottle.

Enroll in Classes

Select Class

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

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Student #2 (Show-Hide Details)

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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