WSDA 2019 Registration

Please fill out one form per student. Email waukeshasummerdrama@gmail.com with questions.

Home Address *
Home Address
Parent/Guardian Name *
Parent/Guardian Name
Student Date of Birth *
Student Date of Birth
Emergency Contact Name *
Emergency Contact Name
Please provide contact information for someone OTHER than the parent/guardian listed above.
Emergency Contact Phone Number *
Emergency Contact Phone Number
Although we cannot coordinate carpooling, we like to provide a list of parents and contact info as a resource to those who need ride assistance. If you are able to help transport children or are in need of ride assistance, please choose 'yes'.