Use the form below to register for Wizard of Oz

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

Payment Information

Payment will be due by Monday, February 5th, and will be payable by cash or check. I also accept credit card payments and PayPal/Venmo. Please make checks out to Impact Youth Theatre.