Complete this registration form to sign up for in person Play Me a Story.
After clicking submit, you will be asked to select the date you wish to attend and then complete your payment information. Thank you. 
Caregiver First name *
Caregiver Last name *
Email *
Phone number *
Student 1 - name *
Student 1 - date of birth *
Student 2 - name
Student 2 - date of birth
Does your student(s) have any communication, mobility, or other needs that you would like us to know about?
Allow PS to use my childs photo video audio *
Release *
Release *
* = required field