First Name *

Nickname for Name Tag (if different, i.e. Rebecca but goes by Becky): *

Last Name *

Parent 1 Full Name *

Parent 2 Full Name *

Cast Member Resides in*

1 Household

2 Households

Mailing Address *

City *

Zip *

Birth Month *

Birth Date *

School *

Grade*

Phone *

Email *

Alternate Phone *

Alternate Email *

Family Photo - please upload photo including cast member and parent(s) *

Drag & Drop Files Here Browse Files

Family Photo - please upload photo including cast member and parent(s)

Drag & Drop Files Here Browse Files

Cast Member Bio

Each cast member will have a short biography under their program picture. Please submit a bio using the following fields: Name, Character Name, Grade, School, year in PPJT, likes: list two or three, goal: list one Example: "Sue (Millie) 7th SVMS, 3rd yr PPJT, likes horseback riding, swimming, goal: teacher"

Name you want printed in the program *

Character Name *

Grade *

School *

Year in PPJT (1st, 2nd, 3rd, 4th, 5th) *

Likes/Hobbies *

Goal (could be career or short term like become a leader, learn to tap dance, make new friends, etc) *

Medical Release *

I give consent to Peter Pan Junior Theater to provide all emergency medical or dental care prescribed by a licensed physician (M.D.) or dentist (D.D.S.)

Physician Name *

Physician Phone *

Insurance Carrier *

Insurance Policy # *

Allergies/Medical Conditions

Cast/Parents Contract

Each cast member is issued one script that is theirs to keep - Replacement scripts can be purchased for $15.00.
Producing shows at Peter Pan Junior Theater require a lot of support and energy from everyone. Parents are required to participate by volunteering on two committees.
All registration fees must be paid by 9/25.
Cast members must be picked up on time after each rehearsal and performance. Please plan on arriving five minutes early.
Rehearsals are closed - directors and production team members only.
Please report all absences using the Report an Absence form on the PPJT website.
The production manager, Kristin Long, can be contacted via email at klongsd@gmail.com.
All communication should be directed to the production manager, not Dr. Arapostathis.

Photo Release – I give Peter Pan Junior Theater Permission to Use:*

My cast member’s photograph and name (First name, last initial)

My cast member’s photograph without his/her name

My cast member’s photograph may NOT be used on the Internet

Accept Terms *

My cast member has my permission to participate in Peter Pan Junior Theater. My family has read and discussed the above Cast/Parents Contract and understands that this theatrical experience is a family effort and involves a time and energy commitment from all family members.

Submit

Cast Registration

Cast Member Bio

Cast/Parents Contract

Steve Babbitt

PracticingRehearsingTrainingDeveloping Charactersince 1970.

More Info

Theater Location

Mailing Address