County Seat Theater YOUNG ADULT Registration 2023 "The Day Aliens Attacked Fairfield"

Actor/Youth Information (Click ADD to enter each Actor's Information)

You may add a maximum of 6

Parent/Guardian Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• Phone:
• Cell Phone:
• * Please provide an emergency Contact Name and Number

• I understand that by submitting this form, I do not hold the County Seat Theater Co. responsible for any loss of personal belongings or injury caused by my child's misbehavior. I understand that I will be responsible to pick up my child promptly at the end of each day and will provide them with proper snacks and lunch. I understand that this camp is a learning tool and should be treated as such. Any child misbehaving or being disrespectful to the space or volunteers will be asked to leave without refund. I understand that there is no refund for cancellations after May 1, 2023. If I do cancel only the original camp registration fee will be refunded, not the service fees.

• *

  Have you entered the camper information at the top of the form? You must select the ADD button at the top of the form to add actor(s)/participant(s) information.

  • Yes
  • No, but I will do it now!

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Additional Fees	No Charge