Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Family:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Account Contact
Agency Contact
Father
Grandparent
Guardian
Mother
Other
Parent
Student
Home Phone:
*
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State/Prov:
*
Postal Code:
*
Emergency Contact Info
*
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Undisclosed
Birth Date:
*
(format=dd/mm/yyyy)
Permission to take photos? Y/N:
Artist Development Program?:
Have a Promotional Code?:
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Undisclosed
Birth Date:
*
(format=dd/mm/yyyy)
Permission to take photos? Y/N:
Artist Development Program?:
Have a Promotional Code?:
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Undisclosed
Birth Date:
*
(format=dd/mm/yyyy)
Permission to take photos? Y/N:
Artist Development Program?:
Have a Promotional Code?:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Undisclosed
Birth Date:
*
(format=dd/mm/yyyy)
Permission to take photos? Y/N:
Artist Development Program?:
Have a Promotional Code?:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Undisclosed
Birth Date:
*
(format=dd/mm/yyyy)
Permission to take photos? Y/N:
Artist Development Program?:
Have a Promotional Code?:
Additional Information:
Other Questions/Comments:
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