SWAT Sign-Up

(Ages 8 and Up - Funded in Part by the Bradford County United Way)
Workshop Dates: July 7th to 11th, 1 to 4 PM
At the Black Box Theatre
Performances:

July 12th - 11 AM at the Black Box and
July 13th - 1 PM at French Azilum

Sign-Up Form
Your Name:
Your Address:
 
Your Contact Number:
Young Person #1    
Young Person #2    
Young Person #3    
Young Person #4    
Young Person #5    
If any of the above have conditions we should be aware of, or, if you have additional young people to sign-up, please enter their names and ages here:
  By checking the check box below, you give permission for the above to attend the S.W.A.T. Workshops and Performances and understand that transportation to the workshops and the performance venues will be your responsibility.
 
I agree