GREAT Theatre Wait List

AdultChild - CampChild - Class

Ex. to subtract $50 from the Item Total, enter "-50" here (without the quotes)

I give permission to GREAT Theatre to use images of the child(ren) I am registering to be used to promote GREAT Theatre.I DO NOT give GREAT Theatre permission for the child(ren) I am registering to be used to promote GREAT Theatre.

Pay in fullApply for Scholarship - Will Pay 25% depositApplies only to items, not Donations or Order Fees.

First Name	Last Name
Relationship to Student	Email
Phone	Daytime Phone
Street Address	City
State	Postal Code
Country

First Name	Last Name
Relationship to Student	Email
Phone	Daytime Phone
Street Address	City
State	Postal Code
Country

First Name	Last Name
Email	Gender
Pronouns	Birthdate
Grade Entering	T-Shirt Size
Medical conditions / Info our instructors should know	School
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	Internal Ad-Hoc Discount Ex. to subtract $50 from the Item Total, enter "-50" here (without the quotes)

First Name	Last Name
Phone	Relationship to Student

First Name	Last Name
Phone	Relationship to Student