Moving Mountains Fall Youth Registration

2024 - 2025

Register and become a part of a vibrant community of artists. With classes in Drama, Dance, and Vocal Arts, children can develop their artistic skills while also building character. Taking advice and guidance for working actors, singers and thriving entrepreneurs.

Ages 10 to 18

If you have more than one child, please fill out a separate form for each.

How did you hear about Moving Mountains?

Social Media

Internet Search

Friend or Collegue

Parent First Name

Parent Last Name

Parent Phone Number

Parent Email Address

Student Name

Student Address

Student Zip Code

Student Phone Number

Student Email (If separate from parent)

Student School

Student Grade

5th Grade

Middle School

High School

Interested Program

Drama

Dance

Voice

All of the Above

Please List any Allergy/ Health issues

Any Social Media Handles

Emergency Contact Name

Emergency Contact Number

I give myself/Child permission to attend Moving Mountains Inc Theater Company

I consent to the use and disclosure of the image, quotes, name, the participation in interviews, and the taking of photographs, recordings, and videos of the name above by Moving Mountains Inc. Theater Company. Your Signature

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FALL YOUTH

2024

Moving Mountains Fall Youth Registration

2024 - 2025