Student's Name *
Student's Name
Student Birthdate *
Student Birthdate
Student Address *
Student Address
Student Cell Phone
Student Cell Phone
Select One
Choose one
Parent / Guardian #1 Name *
Parent / Guardian #1 Name
Parent / Guardian #1 Cell Phone *
Parent / Guardian #1 Cell Phone
Parent / Guardian #1 Home Phone
Parent / Guardian #1 Home Phone
Work Phone
Work Phone
Parent / Guardian #2 Name
Parent / Guardian #2 Name
Parent / Guardian #2 Cell Phone
Parent / Guardian #2 Cell Phone
Parent / Guardian #2 Address (if different from above)
Parent / Guardian #2 Address (if different from above)
This information is confidential and will only be seen by Drama Studio instructors and registration staff.
I grant to the Drama Studio, its representatives and employees, the right to take theatrical photographs/videos of my child(ren). I authorize the Drama Studio to copyright, use and publish the same in print and/or electronically. I agree that the Drama Studio may use such photographs/videos of my child(ren) with or without name(s) and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
Race/Ethnicity *
Drama Studio is a 501(c)(3) non-profit organization that receives government funding. We are required to begin collecting general data on our students to provide our grantmakers with annual statistics. Your child's information is confidential and will be kept private. Please select the racial category with which your child most closely identifies.