*Registration for select_one summer_show_camp2010 star_saver_account

*Student Name
First & Last name

*Student Status select_one returning_ku_student new_ku_student sibling

*Age select_one 6 7 8 9 10 11 12 13 14 15 16 17 18 (null)

*Grade in Fall Select one 1 2 3 4 5 6 7 8 9 10 11 12 college

*Birthday
mm/dd/yy

*School

*Mailing Address
Street

*
City

*
State

*
Zip

*Home phone

*Parent Cell

*Student Cell

*Parent Email

*Student Email

*Contact method select_one home_phone cell_phone email text_message

*Summer residence select_one mother_only father_only mother_father aleternating mother_stepfather father_stepmother other

*Fees Paid by select_one both_parents mother_only father_only other

*If Other
First & Last name

*
Street Address

*
City

*
State

*
Zip

*
Contact Phone

*MOTHER
First & Last name

*occupation

*employer

*work phone

*FATHER
First & Last name

*occupation

*employer

*work phone

*How did you 1st hear about KU? select_one friend flyer radio tv website relative print_ad

*Have you had dance lessons?
Yes or No

*
If yes, where?

*
How long?

*Have you had singing lessons?
Yes or No

*
If yes, from whom?

*
How long?

*Pickup Time select_one early_afternoon mid_afternoon late_afternoon

*Morning Childcare yes no

*Afternoon childcare yes no

*Dance Audition select_one yes no

*Singing Audition select_one yes no

*Emergency Contact
1st Contact Person

*
Relationship to student

*
Contact #1 Phone

*Emergency Contact
2nd Contact Person

*
Relationship to student

*
Contact #2 Phone

*Preferred Care Provider
Doctor or Hospital

*Medical Allergies

*Medication

*PARENT VOLUNTEERING
Enter YES or NO. If yes, check box(es) below

Campus Setup

Costume Sewing

Snack Bar

Office Aide
Friday mornings

Yard Safely
student supervision during breaks

Poster Distribution
for the show

Campus Cleanup
moving from campus to civic

Civic Setup

Lobby Setup
construction lobby displays

Dressing Room Help
must attend 2 rehearsals

Stage Control
must attend 2 rehearsals

Lobby Sales
Before, Intermission & after shows

Cast Party
planning and working

Party Donations
food & prizes

Civic Cleanup

*ENRICHMENT CHOICES i_will_select select_for_me
Number ALL classes in order of preference

Art
Enter preference number

Dance
Enter preference number

Drama
Enter preference number

Enrichment Wheel
Enter preference number

Solo Workshop
Enter preference number

Drum Corps
Enter preference number

Stomp
Enter preference number

Tap Class
Enter preference number

Cheerleading
Enter preference number

Memory Makers
Enter preference number

Guitar Class
Enter # add "H" if you have your own guitar

Choreography
Enter # Must be Emerald level or above

Puppet Theatre
Enter preference number

FUNDRAISING yes no
I would like to fundraise for my tuition

Raffle Tickets
Select as many options as you wish

Car Wash Tickets
order as many as you like

Dance-a-thon
form supplied by KU

Send Sponsor Letters
form supplied by KU

Program Ads
form supplied by KU

Candy Sales
sell as many boxes as you want

Sponsor another Student
form supplied by KU

SOUVENIR SHIRT child_small child_medium child_large adult_small adult_medium adult_large adult_xlarge adult_xxlarge no_shirt

Additional Shirt 1 no_shirt child_small child_medium child_large adult_small adult_medium adult_large adult_xlarge adult_xxlarge

Additional Shirt 2 no_shirt child_small child_medium child_large adult_small adult_medium adult_large adult_xlarge adult_xxlarge

*Parent Booster Club yes no
Sign me up to help

*Required