Theatre and Dance Preview Day

Student Information

First Name *

Preferred First Name (Used for communications)

Last Name*

Email Address *

Birthdate *

Educational Information

I am interested in: *

I plan to begin classes: *

Current School

Current School Name (Begin typing then select from the dropdown list)

Contact Information

Address*

Country

Street

City

Region

Postal Code

Mobile Phone Number

Parent Information

How many parents/chaperones will be with you?

Parent/Supporter First Name

Parent/Supporter Last Name

Parent/Supporter Email

Relationship to Student

Second Parent/Supporter First Name

Second Parent/Supporter Last Name

Second Parent/Supporter Email

Relationship to Student

Event Information

Are you interested in auditioning for a dance scholarship following the production of The SpongeBob Musical?

Yes

No

Number of lunch passes needed (up to 3 - Student plus two chaperones)*

Number of tickets needed for The SpongeBob Musical (up to 3 - Student plus two chaperones)*

We are committed to providing a positive experience for all guests. Do you or a member of your group need any accommodations?

Yes

No

Please detail the type of accommodations you or your guests require.

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