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2019 Application

Please submit the application below to register your student for IMAGINE! Youth Theatre 2019!

 
 
 
Student's Name *
Student's Name
Today's Date *
Today's Date
Student's Birth Date *
Student's Birth Date
Address *
Address
This includes health conditions we may need to know about, conflicts during the camp period, or any other information you feel we should know.
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Name *
Parent/Guardian Name