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Online Registration Form
(If More then 2 Students, Please fill out form 2 times)

2010 | The Wizard of Oz!

Students Name
Students Age
Students Shirt Size
Second Students Name
Second Students Age
Second Students Shirt Size
Mailing Address
City
State
Zip Code
School currently attending
Parents Name
Home Phone
Cell Phone
Work Phone
Interested in Carpool List	Yes No
Email Address
How did you hear about MBRT
Does your child have any conflict dates?	Yes (Please list below) None
List ALL Conflict Dates you have
I will pay with	A credit card via PayPal Mail in Check (must be received in 1 week)
I have read and agree to the terms of Registration	Yes

Terms of Registration