Youth Programs

    

SENIOR YOUTH PROGRAM AT THEATRE SARNIA....AGES 14 to 18


REGISTRATION FORM 

QUESTIONS?   CALL JANE 542-8991 OR ANTHONY 344-9137

 

NAME__________________________________ BIRTHDAY__________________

 

NAME OF PARENT OR GUARDIAN______________________________________

 

ADDRESS______________________________________PHONE________________

 

EMAIL ADDRESS CHILD_________________________________________

 

EMAIL ADDRESS PARENT ____________________________________________

 

PLEASE TICK AN AREA OF INTEREST:  ____PROPS___SET DECOR___SET CONSTRUCTION____COSTUMES___LIGHTS___SOUND___SPECIAL EFFECTS

 

 

ALLERGIES OF CHILD___________________________________________________

 

 

 

 

 

 

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