Use the form below to register for The Velveteen Rabbit

Registration Information

Production

Student Name

First Name

Last Name

Grade Level

Enter the grade your student is currently in or recently completed.

Parent Name

First Name

Last Name

Parent Phone #

(###)

###

####

Parent Email

Alternate Email

Enter any other email addresses you want to access the information sent out.

Student email

If you have a student with an email and want them to have access to the information sent out, please add that here.

I give permission for my student's photo/video to be taken and used in publications, news releases, social media and other communications.

T-shirt Size for Cast Member Cast Shirt

A cast shirt is included in the registration fee. Please make sure to include whether it is a youth or adult-size

Payment Information

Payment will be due Saturday, September 20th, and will be payable by cash or check. Please make checks out to Impact Youth Theatre. If you are paying by credit card or PayPal/Venmo a processing fee of %3 applies so it is $258.00 instead of $250.00.