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-- PlayWorkers Youth Theatre Registration --
Parent's Name
First
Last
Phone
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Email
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Term Interested In:
September 8 – November 24
January 5 – March 30
April 6 – June 29
Ages for Registration: 13-18
Names of children
Age(s) of children
Child’s Previous Experience:
Most Excited to Learn:
Additional Comments:
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