Emergency Contact Form

Eight Traits of a True Magician

Thanks for signing up!

We know your child is going to love the class.

One of the eight traits of a true magician that your child will learn is being prepared. All your child needs to be prepared for our class is to be ready to have some fun!

Us adults, on the other hand, have a few more things to worry about.

Please fill out the form below so that in the case of an emergency, we have all of your contact information.

Thanks again,
Westley Annis
Cajun Magic Academy

    Your Name (required)

    Your Email (required)

    Relationship to child (required)

    Cell Phone (required)

    Home Phone

    Child's Name (required)

    Emergency Contact 1-Name (required)

    Emergency Contact 1-Phone (required)

    Emergency Contact 2-Name (required)

    Emergency Contact 2-Phone (required)

    Emergency Contact 3-Name (required)

    Emergency Contact 3-Phone (required)

    Child's Medical Conditions:

       Please list any medical conditions, e.g. asthma, allergies, recent injuries or illnesses, etc.