The Starlit Stable

Children's Musical Registration

1 Child First Name and Age *

2 Child First Name and Age

3 Child First Name and Age

4 Child First Name and Age

Last Name *

Parent/Guardian Name *

Address

City *

State/Province *

Zip/Postal Code *

Phone *

Emergency Contact Information *

Email Address *

Preferred way to contact *

Phone

Email

Any

Terms and Conditions
Faith Mennonite Church and Thae Bank Theatre use social media and webpages, as well as print media to advertise and promote community events and productions.

*

-I give Faith Mennonite Church and The Bank Theatre consent to use my childs image, in relation to this production, in social media posts (ie:Facebook, Instagram), their webpages, and print media.

I understand that all reasonable precautions for the safety and health of the participant will be taken. He/she will be properly supervised in activities. In the event of accident or sickness, Faith Mennonite Church and The Bank Theatre its staff and volunteers are released from any liability.

Please sign *

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