Center Stage Youth Performers

		*Broadway Bound Registration*

2008-09 Broadway Bound Registration
Participant's Name
Street Address
City
Zip
Phone Number
Parent's Cell Phone
Gender	Male Female
Age (on Sep. 4, 2008)
Date of Birth
Grade Attending in the Fall
School Attending in the Fall
Email Address
Parents'/Guardians' Names
How did you find out about us?
Comments
	AGREEMENT: I understand that by completing this online registration form, I am only temporarily holding a spot for this participant. In order to secure a spot in the workshops, I must mail in a signed contract and the registration/materials fee within one week of completing this form. (More details on how to do this will be provided after submitting the form.) I also understand that the registration/materials fee is non-refundable.