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Bob Marley's Three Little Birds

JAN 19 – MAR 1, 2020

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Spamtown, USA

FEB 16 - APR 5, 2020

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The Rainbow Fish

Mar 10 – Apr 5, 2020

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Annie

APR 19 - JUN 21, 2020

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Theatre Arts Training

Theatre Arts Training Emergency Contact Form

Select Your Session*
- Winter 2020
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Student Information
Student Name*
First Last
Student Date of Birth*
Date Format: MM slash DD slash YYYY
Parent/Guardian Information
Parent/Guardian Name*
First Last
Email*
Day Phone*
Evening Phone
Address*
Street Address Address Line 2 City State ZIP Code
Add a 2nd Parent/Guardian?
- Yes
If yes, an account will be verified/created
2nd Parent/Guardian Information
Parent/Guardian Name*
First Last
Email*
Day Phone*
Evening Phone
Same address as Parent/Guardian #1*
- Yes
- No
Address*
Street Address Address Line 2 City State ZIP Code
Alternate Contact
(If we are unable to reach a contact listed above)
Alternate Emergency Contact #1*
First Last
Relationship to Student*
Alternate Emergency Contact #1 Phone*
Alternate Emergency Contact #2
First Last
Relationship to Student
Alternate Emergency Contact #2 Phone
Alternate Emergency Contact #3
First Last
Relationship to Student
Alternate Emergency Contact #3 Phone
Are there any individuals who are NOT authorized to pick-up the student?
- Yes
If yes, please list names.
Please list names of any individuals not authorized to pick up the student
Medical Information
The student is covered by a medical insurance/assistance plan*
- Yes
- No
Medical Insurance/Assistance Provider*
Policy Number*
Does the student have special considerations, allergies, or medications that we should be aware of?*
- Yes
- No
(please include any food allergies and/or bee stings)
Please explain:*
Acknowledge and Agree to Registration Terms
Click here for TAT Policies
I understand and accept the Medical Policy*
- Yes
I have read and accept the TAT Policies*
- Yes

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2400 3rd Avenue South

Minneapolis, MN 55404

Ticket Office: 612.874.0400

Theatre Arts Training Office: 612.872.5100

Children's Theatre Company is a 501(c)(3) organization.

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