RSVP 1 — Storybook Theatre

Registration Form

CIRCUS ARTS CLASSES INCLUDE: JUGGLING, STILT-WALKING, AND OTHER CIRCUS SKILLS

Send completed registration form and check to: Storybook Theatre of Hawaii, P.O. Box 820 Hanapepe, HI 96716.

Please include a $150 check payable to Storybook Theatre.

For more information or to use a credit card for payment, please call (808) 335-0712 or email office@storybook.org.

Participant Confirmation will be sent to you upon registration.

Parent/Guardian Information

First Name

Last Name

Email

Phone

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Particpant's Name

First Name

Last Name

Participants Date of Birth

MM

DD

YYYY

Checkbox

Male

Female

Physician's Information

First Name

Last Name

Phone

(###)

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Medical Insurance & Participant Special Needs (if any)