Rising Stars
Registration

Student First Name

Student Last Name

Please upload a recent photo of your student

Upload File

Student Email

(if applicable)

Student Phone

(if applicable)

Address

Perfomed on Stage before?

Yes

(show name, role performed, year, production company/school)

Theatre Experience

(i.e. can do backflip, sings at church, rides a unicycle, etc.)

Additional Experience

Parent First Name

Parent Email

Parent Last Name

Parent Phone

Parent 2 First Name

Parent 2 Email

Parent 2 Last Name

Parent 2 Phone