Theatre - Vacation & Emergency Information - Carol Stream Park District

Participant’s Name(Required)

First Last

Participant’s Age(Required)

Parent/Guardian's Name(Required)

First Last

Parent/Guardian's Cell(Required)

Email(Required)

Additional Parent/Guardian's Name

First Last

Additional Parent/Guardian's Cell

Additional Parent/Guardian's Email

Emergency Contact Name

First Last

List an additional person who can be contacted in case of emergency if parents/guardians are unavailable.

Emergency Contact Cell

Vacation Dates(Required)

List all dates your child is NOT able to attend. Please note, extensive vacation dates will make them ineligible for a lead role. If you have no vacation dates, list NONE.

Does Your Child Need One-On-One Inclusion Support?(Required)

Yes

Please note, requests for WDSRA inclusion support must be submitted at least two weeks in advance.

Medical Concerns, Special Needs & Allergies

If requesting one-on-one inclusion support, please provide details here.

Parent/Guardian's Name(Required)

First Last

Date(Required)

Theatre – Vacation & Emergency Information

CSParks Mobile App

Parks & Facilities

About Us

More

Employees