Drama by George

Drama Club Registration Form

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Choose Your Drama Club

Choose Your Drama Club

Select One *

Middletown Elementary | Jan. 23 - Mar. 13 | $99

Jeffersontown Elementary | Jan. 29 - Mar. 19 | $99

Your Cost *

Once you select a drama club, you'll see the amount due in dollars

Student Information

Student Information

Student's First Name *

Student's Last Name *

Student's Gender * Male Female

Student's Grade * Grade 2 Grade 3 Grade 4 Grade 5

Student's Teacher *

Medical Conditions or Allergies *

Type "none" if not applicable

Dismissal After Drama Club *

Car Rider

Aftercare (CEP)

OtherOther

Adults Authorized to Pick Up Child

We will only release your child to an individual listed here or to the parent(s) named below

Parent Information

Parent Information

Parent's First Name *

Parent's Last Name *

Parent's Email *

Address *

City *

State * Kentucky Indiana Other State

Zip Code *

Primary Phone *

The best way to reach you, like your cell phone

Alternate Phone *

Another way to reach you, like your home or work phone

Emergency Contact Information

Emergency Contact Information

Emergency Contact Name *

If possible, please list someone who does not live in the same household as the student (for example, a grandparent)

Emergency Contact Phone *

Next Step: Liability Release Form

Next Step: Liability Release Form

You must pay by credit card when submitting an online registration. If you prefer to pay by check, please download the printable registration form for your school (found here) and submit it with your check. We do not accept unpaid registrations.