Come Join the Summer Fun at 
Just copy/paste it into an email or print it out.
CAST Flip-Flop Summer Theatre Registration Form (Please print clearly and fill out one form per student)
Student’s Name:______________________________________________________
Age: ____________ Date of Birth:____________________ M/F: ______________
Parent’s Name(s):_____________________________________________________
_____________________________________________________________________
Parent’s Email:________________________________________________________
Student's Email: ______________________________________________________
Home Phone:________________________ Work: ___________________________
Cell: _______________________________
Name of School student attends:__________________________________________
Does your child have any medical conditions we need to know about?
Yes _____ No _____
Explain: ______________________________________________________________
_____________________________________________________________________
Emergency Contact(s):_________________________________________________
____________________________________________________________________
Relationship to the Student:_____________________________________________
_____________________________________________________________________
Phone Numbers: (H)_______________________(Other)_______________________
If in the event of an emergency, we cannot contact you or the emergency contact, do we have permission to call 911 or seek immediate medical attention?
Yes _____ No _____