Fields marked with an asterisk (*) are required.

    General Info

    Parent's Name *

    Student's Name *

    Student's Grade - Fall 2017 *

    Contact Info

    Street Address *

    City:*

    State: *     Zip: *

    Parent's Email *

    Home Phone

    Cell Phone

    Camp

    I am registering for: *

    Check below if you give Facetime Theatre permission to take photographs and/or video of your child which may be used in future online and print promotional materials.

    Additional Comments or Questions:

    (Upon submission you should be redirected to the Summer Stage Kids Registration Page to make your payment. If you are not, please return to the registration page to send in your payment. Your registration is not complete until we receive your form and your payment. Thank you.)