childrensplaytimeproductions.com
EDUCATIONAL IMPACT THEATRE - WHERE EVERYBODY PLAYS
MAILING LIST INPUT FORM
P.O. Box 10087, Palm Desert, CA 92255-0087++ Phone: 760/841-3177 ++ Fax: 760/406-4027
Please use this form to be added to CPP's mailing list or to make corrections to your current contact information.
If you are under 18, please have your parent/guardian complete this form.
IF YOU ARE CORRECTING/CHANGING INFORMATION, PLEASE MAKE A NOTE OF THE OLD INFORMATION IN THE BOTTOM COMMENT BOX
Last Name for mailing list entry:
First name for mailing list entry:
Street Address (# and street or PO Box):
Alternate Phone Number:
COMPLETE E-Mail Address
(e.g., something@provider.com):
Please use this space if you have any questions or need to provide us with any relevant information:

I AM (check all that apply):
FILL OUT FORM AND HIT SUBMIT BELOW
City, State:
Zip Code:
Primary Phone Number:
This is a:
This is a:
Home PhoneCell PhoneWork Phone
Home PhoneCell PhoneWork Phone
A parent of a past/present CPP participant
A parent of a possible CPP participant
An adult actor and past/present CPP participant
An adult actor and possible CPP participant
Other (explain below)