Children's Theater of Madison | Online Registration

Please enter all primary parent/guardian information below. Student information will be filled out in a further step.

Required fields are denoted by *--. You are in the Personal Info section. Continue to tab below to start reading or entering your information.

* Username

* What best describes your relationship to the student?

How did you hear about us?

* First Name

M.I.

* Last Name

Gender

Date of Birth

* Password((minimum 8 characters))

* Confirm Password

Must contain an uppercase, three lowercase, a digit and a non-alphanumeric character (e.g. $ @ # %). Example "Abbbxx1#".

* Home Phone((ex: xxx-xxx-xxxx))

Work Phone((ex: xxx-xxx-xxxx))

ext.

* Mobile((ex: xxx-xxx-xxxx))

* Primary Contact Email

Secondary Contact Email

--. You are in the Primary Address section. Continue to tab below to start reading or entering your information.

* Country

* State/Province/Region

* Address Line One

Address Line Two

* City

Postal Code

After you hit SUBMIT please go back to MY ACCOUNT and scroll to the bottom of the page to add a second adult contact.