Please complete this form if your child is interested in participating in St. Al’s production of “Make Us Believers,” which will be performed the weekend before Holy Week–the Friday before Palm Sunday.

Parent(s) will receive an copy of the completed form via e-mail.

First name: Last name:

Home telephone:

Cell phone (if applicable):

Email (if applicable):

Primary Interest:

Please mention any other interests in the note area at the bottom of this page.

\"Make Us Believers\" Experience: [radio* radio-mube \"Yes\" \"No\"]

Acting or Singing Experience (if applicable):  Yes No

Grade:  High School Middle School 4th - 6th

The remaining section must be completed by a parent or guardian.

Mother\'s name:

Mother\'s Email:

Mother\'s cellphone:

Father\'s name:

Father\'s Email:

Father\'s cellphone:

My child has my permission to participate in the St. Alphonsus Parish production of \"Make Us Believers,\" a Passion Play by Bob Summers. I understand that checking the acceptance box and entering my name is a substitute for a written signature.

My child has permission to participate in the play.

Parent\'s Electronic Signature (enter full name):

If necessary, please write a note to Mrs. Heagy: