Name: Main Cast Registration
SKU: 33056
Availability: InStock

Parent/Guardian Contact Information
Parent/Guardian Name*
First Last
Relationship to Child(ren)*
Address*
Street Address City ZIP Code
Primary Phone Number*
Secondary Phone Number
Email*
Enter Email Confirm Email
Would you like to add details for another parent/guardian?
Parent/Guardian #2 Contact Information
Parent/Guardian #2 Name*
First Last
Parent/Guardian #2 Relationship to Child(ren)*
Parent/Guardian #2 Address*
Street Address City ZIP Code
Parent/Guardian #2 Primary Phone Number*
Parent/Guardian #2 Secondary Phone Number
Parent/Guardian #2 Email*
Enter Email Confirm Email
Emergency Contact Information
In case of emergency, if we can’t reach you, whom do we call?
Emergency Contact Name
Emergency Contact Phone
Child’s Physician
Physician's Phone Number
Parent Opportunities
We are looking for parents who might have some special talents to share with LPRT. Photographers, Chefs, or Caterers to provide pre-show dinners for our theatre, artists to paint murals, etc. Please share with us anything you might be willing to offer!
Tell us about your talents and skills!

Main Cast Registration

Child's Information