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"Broadway In A Barn Since 1937"

Children's Workshop Registration - FALL 2021

Name * :

Birth Date mm/dd/yyyy (MUST BE 8 YEARS OF AGE OR OLDER) * :

Parent Emails (separated by ;) * :

Allergies :

workshop :

Moana JR (musical)
THIS WORKSHOP IS FULL

Tuition: $300

per person

per workshop

NOTES: Tuition are non-refundable and due at registration.

Workshop schedules and titles are subject to change

PARENT(S) OR LEGAL GUARDIAN

Name :

Relationship :

Address :

Phone :

Name :

Relationship :

Address :

Phone :

PERSON(S) TO CONTACT IN CASE OF EMERGENCY (if different from above)

Name :

Relationship :

Address :

Phone :

Name :

Relationship :

Address :

Phone :

AUTHORIZED PEOPLE TO PICK UP CHILD (if different from above)

Name :

Relationship :

Address :

Phone :

Name :

Relationship :

Address :

Phone :