Pippin Registration Spring 2024 - Winter Spring Performing Arts

Student Name/Last Name *

Student Date of Birth *

Student Phone # *

Student Email *

Student Shirt/Tee Size *

Student Address *

City *

State *

Zip Code *

Parent 1 Name/ Last Name *

Parent 1 Phone # *

Parent 1 Email *

Parent 2 Name/Last Name *

Parent 2 Phone #

Parent 2 Email

Emergency contact Name/Last Name *

Emergency Contact Phone #

Rehearsal dates listed below. Please check all rehearsal conflicts.

SELECT any/all dates that you have a known conflict. There will NOT be rehearsals held during SCPS Spring Break (March 18-22).