PlayJude

DRAMA PROGRAM

 

Name

 

Age / Grade

 

Location

 

Date of class

 

Parent/Guardian Name(s) 

 

Home Phone Number 

 

Work/Cell Number(s)

 

Emergency Name and Number

 

Email Address

 


Please enroll my child.  By signing up I am aware that any photograph taken during the program may be used in future publications for advertisement of PlayJude Drama.


Signature: ______________________________________________