Morrow’s Performing Arts Center

Registration – Summer 2010

No Registration Fee

Please complete a separate registration form for each child.

Student’s Name:       ____________________________________________________

Parent’s Name:         ____________________________________________________

Home Phone:            ______________________      Cell Phone:   _________________

Address:                 ____________________________________________________

City:                      __________________________________    Zip:  ___________

Email Address:          ____________________________________________________

Child’s Birthday:        ___ / ___ / ______

                             mm     dd      yyyy

Name of School:       _______________________________________ Grade: _____

How did you hear about us: ______________________________________________

                             ____________________________________________________

What classes are you registering for?  (include day & time)

Please sign below to indicate that we have your permission to use photographs of

your child for publicity purposes.

_______________________________________________________________________

Signed                                                                              Date