Complete this registration form to register for a class at Portland Stage.
Caregiver First Name *
Caregiver Last Name *
Email *
Phone number *
Student 1 - name *
Student 1 - date of birth *
Student 1 - grade level Fall 2021 *
Does your student(s) have any allergies or other health concerns that our education staff should be aware of? If so, please list them below.
Anything else you would like for us to know about your student
Allow PS to us my childs photo video audio
Release Part 1 *
Release Part 2 *
Behavior Policy
* = required field