The Fields Registration Form
First Name
*
Last Name
*
Date of Birth
*
School Year
*
-- None --
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Allergies
Medical Conditions
Special Needs
Notes - including support people
Do we have permission to post photos of your child on Social Media?
Yes
No
Emergency Contact
*
Number
*
Email Address
*
My Child is attending the following classes
Junior Dance (K-3)
Intermediate Dance (3-6)
Drama/ Storytelling (K-6)
Craft (K-6)
Musical Theatre (4-10)
Homework Club 3:30 - 4:00
Homework Club 4:00 - 4:30
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