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"Broadway In A Barn Since 1937"

telephone (508) 224-4888

Children's Workshop Registration

Name Of Student * :
Student Date of Birth (MUST BE 7 YEARS OF AGE OR OLDER) * :
Parent Emails (separated by ;) * :
Allergies :
workshop :
Seussical JR (musical)
Tuition: $300

per person

per workshop
NOTES: Tuition is 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 parents/guardians)
Name :
Relationship :
Address :
Phone :
Name :
Relationship :
Address :
Phone :
AUTHORIZED PEOPLE TO PICK UP CHILD (if different from parents/guardians)
Name :
Relationship :
Address :
Phone :
Name :
Relationship :
Address :
Phone :