Student Information
Student Name *
Student Name
Birthdate *
Birthdate
Gender *
Parent/Guardian Information
Parent/Guardian *
Parent/Guardian
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Work Phone
Work Phone
Address *
Address
Do you serve on a PTA or PTO? *
Emergency contact
Emergency Contact *
Emergency Contact
Emergency Contact Home Phone *
Emergency Contact Home Phone
Emergency Contact Cell Phone *
Emergency Contact Cell Phone
Emergency Contact Work Phone
Emergency Contact Work Phone
Class Selection
Please read carefully– I give permission for still or video pictures of my child to be used by Gamut Theatre Group for promotional purposes. I hereby give my permission for my child (named above) to attend the session for which he/she is registering. * *
Payment Option *
Please choose one payment option.

CANCELLATION POLICY: If a registered student is unable to attend Gamut Theatre Academy, you must notify the office immediately in order to get a credit to Gamut Theatre. DEPOSITS ARE NON-REFUNDABLE.