Theatre Workshop Registration

  
 
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  Personal Information:    
  * You must enter something in each blank marked
   with an asterisk. If it is not applicable to you,
   just type "na" for not applicable.
  Student Information    
  Student's Name: *
   Age:*
 
Birthday: (mm/dd/yyyy) *

  Grade:
(completed in spring 2011) *
 

Summarize your child’s drama experience, including church and school plays, other workshop experiences, etc.
  Parent or Guardian
Information		    
  Name: *
   Address: *
  City: *
   State:*
  Zip: *
   Home Phone Number: *
  Work Phone Number:

  Cell Phone Number:
  Email Address: *
When you have completed the information, click on SUBMIT.
   

For information call Phyllis Cummins at 214-220-2727, ext. 218 or email pcummins@firstchurchdallas.org.

The Rotunda Children’s Theatre Workshop is sponsored by The Executive Board of the Rotunda Theatre, Linda Massey, Chair.

Dana Effler, Director of Music and Arts

Payment Options:

Check made payable to FUMC Rotunda Theatre
(Memo line:  Children’s Theatre Workshop)

Credit Card

 
 
 
 

 

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