Center Stage Youth Performers

		*Broadway Bound Jr. Registration*

2008-09 Broadway Bound Jr. Registration
Participant's Name
Street Address
City
Zip
Phone Number
Parent's Cell Phone
Gender	Male Female
Age (on Jan. 8, 2009)
Date of Birth
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 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 fee is non-refundable.