Registration Form 2019


Please complete this form prior to 2/7 for this year's production of Mary Poppins Jr.


Child's First Name *
Child's First Name
Primary Parent Name *
Primary Parent Name
Primary Parent Phone *
Primary Parent Phone
Secondary Parent Name
Secondary Parent Name
Secondary Parent Phone *
Secondary Parent Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Parents must serve on a committee. Please make three choices from the drop downs below:
The children in our performances are sometimes featured in local publications, stories appearing in local papers, or on programs aired on our local Cable Channel. These stories may also be posted on our web site as well as the web sites for The Pelham Weekly or Journal News. It is also possible that photographers and/or reporters from other media, for example The New York Times, may also cover stories about our performances. It is important to know that while our web site will never include captions that identify the names of students in photos, the local papers sometimes do. By opting to participate in the PCT, you acknowledge that images of your child may be used on our web site or other media outlets.
Parent Commitment *
It is through the collective effort of everyone involved in the PCT that we are able to provide such a rich experience for the children involved and put together a production that everyone in the community can enjoy. Parent effort is an important part of that commitment, and by agreeing to let your child participate you also agree to work with one of the production committees and chaperone at least two rehearsals.