Ghostlight ETC Online Registration

Registration

Already a customer? Click here to login.

Welcome to Ghostlight ETC! Please complete the following registration form to create your Portal account. This is a one-time step per family and prepares you to enroll in a particular program/show.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Student's Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Parent/Guardian #1 or #2 from below; be sure to include a phone number!)

Contact #1

Parent/Guardian Contact #1 First Name*

Last Name *

Relationship to Student*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent/Guardian Contact #2 First Name

Last Name

Relationship to Student

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School Name*

Grade Level*

Pant Size (please specify girls, boys, women's, or men's)*

Dress Size (where applicable)

Allergies (If none, please type NONE)*

Medications (NOT required; leave blank if NONE)

Primary Doctor

Anything else you'd like us to know?

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School Name*

Grade Level*

Pant Size (please specify girls, boys, women's, or men's)*

Dress Size (where applicable)

Allergies (If none, please type NONE)*

Medications (NOT required; leave blank if NONE)

Primary Doctor

Anything else you'd like us to know?

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School Name*

Grade Level*

Pant Size (please specify girls, boys, women's, or men's)*

Dress Size (where applicable)

Allergies (If none, please type NONE)*

Medications (NOT required; leave blank if NONE)

Primary Doctor

Anything else you'd like us to know?

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School Name*

Grade Level*

Pant Size (please specify girls, boys, women's, or men's)*

Dress Size (where applicable)

Allergies (If none, please type NONE)*

Medications (NOT required; leave blank if NONE)

Primary Doctor

Anything else you'd like us to know?

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School Name*

Grade Level*

Pant Size (please specify girls, boys, women's, or men's)*

Dress Size (where applicable)

Allergies (If none, please type NONE)*

Medications (NOT required; leave blank if NONE)

Primary Doctor

Anything else you'd like us to know?

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

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

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies

(Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

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

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Required Policies

(Show-Hide Details)