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Youtheater Workshop-MONTOURSVILLE, PA 7/11-7/15
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Registration Form
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Review
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Payment Details
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Receipt
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YOUTHEATER WORKSHOP 2022
Greenview Alliance , Montoursville, PA
Monday, July 11 through Friday July 15 from 8:30 AM-12:30 PM each day!
Children ages 8-15 are welcome to participate!
Final Day Noon- Parent Performance
Registrant’s Information
First Name
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Last Name
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Date of Birth
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Age
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Gender
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Male
Female
T-Shirt Size
Please Select Answer
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
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Address
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City
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State
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Zip
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Phone Number
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Email Address
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Parent's Full Name
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2nd Emergency Contact Name
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Phone Number
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Allergies
Please list other adults who can pick up your child
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Payments are non-refundable!
Registration Cost
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Sibling after 6/1 ($85.00 USD)
Register after 6/1 ($99.00 USD)
If paying sibling price- sibling's name
*The sibling discount is available for families registering multiple children for the workshop. To receive this discounted price you must register one (1) child at the regular price.
Complete a separate form for each child. On the next screen click “Add Attendee” and enter additional child’s information, be sure to select sibling price.*
Wavier of Liability
In consideration for participating in activities with and at Family Life Youth Theater workshop, I do hereby release, forever discharge and agree to hold harmless, Family Life Ministries, Inc. and the Board of Directors thereof, from any and all liability, claims and/or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever, which may be incurred by myself while participating in the above described activities therein. I further hereby agree to not hold liable said ministry, its Board of Directors, employees and agents, for any liability sustained by said ministry as the result of any negligent, willful or intentional act of my own. By registering for an event, the attendee grants Family Life and its affiliates permission to use his/her likeness in a photograph in any and all publications and materials without payment or consideration made to them.
I Agree
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Event Information
7/11/2022 8:30 AM -
7/15/2022 12:30 PM
Contact Information
Melanie Coe
6077764151
melaniecoe@familylife.org