studio x registration

Parents Name

First Name

Last Name

Participants Name

First Name

Last Name

Age

Street Addess

Email Address

Phone Number

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Important Information

Please let us know of any allergies, health, or social issues that we should be aware of so that we can make your child's Bits of Broadway experience as wonderful as possible. If there's nothing else we need to know, please state "none".

PLEASE NOTE:

Payment information will be included on this page once you register.