REGISTRATION FORM FOR CREATIVE YOUTH THEATER
Print this form out, fill it out, and then mail it with the registration deposit
($25.00) to  Creative Youth Theater, 2818 Martin Road Bellingham, WA  98226

Name ________________________________________________________________________

Address _____________________________________________________________________
City _________________________________Zip/Postal Code ___________________________

Phone __________________________  Email _________________________________________
    (Make sure everything is very clear so that you will receive information from me.)
Grade/School _______________________________ Age _____________ Height ________________________

Registering for:    Cruising Into trouble ____________________
Registering For:  Villains, Villains, and More Villains ________________________

Parent _____________________________________Cell/Work  Phones _________________________________

Parent _____________________________________Cell/Work  Phones _________________________________

Other emergency contacts and those with whom you can get a ride home:

Name ______________________________________________Phone(s) ______________________________________
Name ______________________________________________Phone(s) ______________________________________
Name ______________________________________________Phone(s) ______________________________________

Have you ever been on stage before?  (Tell me about it!) ____________________________________________
___________________________________________________________________________________________________
____________________________________________________________________________________________________

Tell me about yourself:
I want a:    Big part _______  Medium Part _____________   Small Part ______________(Check one)
I can memorize lines easily:    YES  ____    Sort of ________  I don't really know_______ I'll really work at it ______
I can sing:  Yes, but only in a group_____  NO _______  Never _______  Yes, and I loves solos!  ______
I can dance:   Yes, but only in a group_____  NO _______  Never _______  Yes, and I loves solos!  ______
I can do fun things with my voice:  YES ________ NO _______ Comment _______
For my age, I look:    Older _______ younger ______ right on _________
I feel:    Ready to go _________  a little nervous ________  very nervous but will try _______  SO VERY READY _____
Other things you want to tell me about (talents, thoughts, etc.)  ________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Please sign below indicating that you have read and gone over the Creative Youth Theater  Participant
Agreement with your parent(s).   Click here to read agreement.   
(please print off a copy, sign it and mail in with your  registration form)

Participant Signature ____________________________________________________Date _______________________

Parent __________________________________________________________________ Date _______________________
 

Please mail this form with the deposit ($25.00) to:
 Creative Youth Theater  2818 Martin Road, Bellingham, WA  98226
(Deposit is non-refundable after June 1)

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