REGISTRATION

2023 Summer Theater Workshop Registration

Student Name

Grade completed by June 2023 (MUST BE Grades 1st-12th only) enter grade number only

Date of Birth

Parent/Guardian Contact Phone Number

Parent/Guardian Contact Email

Mailing Address (Please type out full address in the box below. If left blank, we will not be able to send out required documents)

Parent/Guardian Name: If this student is accepted, I grant them permission to atttend.

Relationship to student

If a scholorship is requested for this student, please type "Yes"

Thanks for submitting!
You will be sent other required documents via postal mail.