Registration for Buzzer-Fly

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Online Application Form

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Child's Name and Age (1): *

Child's Name and Age (2):

Child's Name and Age (3):

E-mail address: *

My child will participate in both acting and stage/costume design classes.

My child will participate in acting only.

My child will participate in stage/costume design classes only.

Parent's/Guardian's Contact Information (phone number, mailing address): *

In what capacilty would your child like to participate in the play: big/small role, dance, sing, play an instrument?

What languages would your child be interested in speaking in the play: English only? French? Russian?

Additional Comments/Requests:

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