THEATRE CLASS REGISTRATION
__________________________________ ______________________________
Child's Name Child's Age
__________________________________ ______________________________
Parent's Name Child's Date of Birth
__________________________________ ______________________________
Address Home Phone
__________________________________ ______________________________
City Cell Phone
__________________________________ ______________________________
State Zip Code Parent's E-mail
_____________________
Child's School 2008-2009
____ T' Lights (Ages 4-8)
____ Firelight Children's Theatre Junior Company (Ages 8 and up)
____ Firelight Children's Theatre Company (Age 13 and up with experience)
____ Broadway Style Singing Class
(Ages 4-8)
____ Broadway Style Singing Class (Ages 9 and up)
____ Broadway Style Singing Class (Adult/Teen)
____________________________________
______
Parent's Signature
(Participant Signature for Adults)
There is a $25.00 non-refundable registration fee for all theatre classes. All checks should
be made payable to Firelight Children's Theatre.
Please mail completed registration form and payment to:
Firelight Children's Theatre
P.O. Box 174
Milton, LA 70558
Return to Theatre Home Page