Student Registration – Kingswood Children's Summer Theatre

Online Student Registration Form

Students First Name *

Last Name *

Students Age *

Grade Completed This Year in School *

Birth Date *

Month

Day

Year

Registration Payment Option

Parent or Guardian's Full Name *

Home Phone *

Work Phone *

Cell Phone

Email Address *

Additional Parent or Guardian's Full Name (Optional)

Home Phone

Work Phone

Cell Phone

Mailing Address

Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Off Season Mailing Address

Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Emergency Contact

If Parent or Guardian Cannot be Reached Immediately

Full Name

Relationship to Student

Home Phone

Work Phone

Cell Phone

Does your child plan on participating in the 4th of July parade?

What is your child’s t-shirt size? *

Is there anything else you would like us to know about your child’s needs? Ie: If your child is ‘shy’, list the name of a child that is a “safety buddy”. We would like to have this available for scheduling if this is a concern for him/her.

Does your child have any physical limitations or allergies of which the Staff should be aware?

Liability Disclaimer

Medical Emergency Statement

Child’s Primary Care Physician

Phone

Photography/Video Release

Please understand that upon registration, a place is reserved for you or your child for the entire session for which you have registered. You are responsible for tuition for that entire time period.

I have read and agree to abide by all rules and policies as stated above *

Date *

Total

Online Student Registration Form

Mailing Address

Off Season Mailing Address

Emergency Contact

If Parent or Guardian Cannot be Reached Immediately

Liability Disclaimer

Medical Emergency Statement

Photography/Video Release

Please understand that upon registration, a place is reserved for you or your child for the entire session for which you have registered. You are responsible for tuition for that entire time period.

Contact Us

Kingswood Children’s Summer Theatre

Providing enrichment and arts appreciation through theater workshops and performances

Phone: (603) 704 2787

Mailing Address:
Wolfeboro Area Creative Arts Center
PO Box 1403
Wolfeboro, NH 03894

Performer login

© 2022 Kingswood Children’s Summer Theatre

Website Powered By PinPoint Marketing

Online Student Registration Form

Mailing Address

Off Season Mailing Address

Emergency Contact

If Parent or Guardian Cannot be Reached Immediately

Liability Disclaimer

Medical Emergency Statement

Photography/Video Release

Please understand that upon registration, a place is reserved for you or your child for the entire session for which you have registered. You are responsible for tuition for that entire time period.

Contact Us

Kingswood Children’s Summer Theatre

Providing enrichment and arts appreciation through theater workshops and performances

Phone: (603) 704 2787

Mailing Address:Wolfeboro Area Creative Arts Center PO Box 1403 Wolfeboro, NH 03894

Performer login

© 2022 Kingswood Children’s Summer Theatre

Website Powered By PinPoint Marketing

Mailing Address:
Wolfeboro Area Creative Arts Center
PO Box 1403
Wolfeboro, NH 03894