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Student
First Name
Surname
Gender
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Unspecified
Male
Female
Medical
Other- please email us with specifics
Not applicable
ADHD
Severe Peanut Allergies
Asthma
Autism
Diabetes
Epilepsy
T-Shirt Size
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Youth Small
Adult XXXL
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Adult Small
Youth X-Large
Youth Large
Youth Medium
Cild X-Large
Child Large
Child Medium
Child Small
Child X-Small
None
Photo and Video Consent
Yes, Backstage can use photos of my child on their website and social media.
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Email
Password
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