Registration Fall 2020 — Fairfield Center Stage

REGISTRATION

FAIRFIELD SUMMER STAGE BACK-TO-SCHOOL EDITION PRESENTS
ANNIE WARBUCKS
SEP 12-NOV 7
TUESDAYS @ 5-6:30PM / SATURDAYS @ 10AM-1PM
program fee: $750 ($150 deposit due at registration)

Parent(s) Name(s)

First Name

Last Name

Name(s) of student(s)

ok to list multiple kids here!

First Name

Last Name

Age(s) (current)

Entering what grade in Fall 2020?

Email Address

Contact Phone #

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###

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Street Address

City/Town

Zip

Questions/Comments