Musical Theater Student 2 - Center Stage Academy of the Arts

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Please enter the information for student 2.
Number of Students
Fist Name (Student 2)*
Last Name (Student 2)*
T-shirt size (Student 2)*
Age (Student 2)*
Broadway Babies, ages 2-3
Broadway Babies, ages 4-6
Birthday (Student 2)*
Date Format: MM slash DD slash YYYY
Gender (Student 2)*
Select from the classes below.*
(Student 2)
Parent/Guardian First Name*
Parent/Guardian Last Name*
Parent/Guardian Email Address*
Parent/Guardian Phone*
2nd Parent/Guardian First Name
Optional
2nd Parent/Guardian Last Name
Optional
2nd Parent/Guardian Email Address
Optional
2nd Parent/Guardian Phone
Optional
Emergency Contact First Name*
Emergency Contact Last Name*
Emergency Contact Phone*
Emergency Contact Relationship to Student*
Examples: Aunt, Grandmother, Friend of Family.
Address*
Street Address Address Line 2 City ZIP / Postal Code
Credit Card Number

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Please enter the information for student 2.