Youth Workshops Form Siblings save 10%. Enroll early and SAVE 20%. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1234ENROLL IN CLASSESChoose your student's grade level.Grades 1-3Grades 4-6Grades 7-12Grades 1-3: Improvisation and Theater Games, Sep 23 - Nov 4 (Mondays, 4-6pm)1 Student ($200)2 Students ($400)1 Sibling ($180) - 10% Discount2 Siblings ($360) - 10% DiscountNot selectedThe regular registration rate is $200 per student. Grades 4-6: Improvisation and Theater Games, Sep 24 - Nov 5 (Tuesdays, 4-6pm)1 Student ($200)2 Students ($400)1 Sibling ($180) - 10% Discount2 Siblings ($360) - 10% DiscountNot selectedThe regular registration rate is $200 per student. Grades 7-12: Audition Technique, Sep 25 - Nov 6 (Wednesdays, 4-6pm)1 Student ($200)2 Students ($400)1 Sibling ($180) - 10% Discount2 Siblings ($360) - 10% DiscountNot selectedThe regular registration rate is $200 per student. Please consider including a donation.Total Amount$0.00Stripe Credit Card *CardName on CardTransactions secured with 256-bit SSL encryption.NextSTUDENT INFORMATIONName *FirstLastBirthdate *Gender *Student Email *Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSchool Name *Grade *123456789101112How did you hear about our youth workshops? *Are you registering a sibling?NoYesSibling: NameFirstLastSibling: Birth DateSibling: GenderSibling: EmailSibling: Cell PhoneSibling: School NameSibling: Grade123456789101112PreviousNextPARENT/GUARDIAN INFORMATIONSalutation *Mr.Ms.Mrs.Dr.Name *FirstLastRelationship *Is your address different than the student's? *NoYesEmail *Cell Phone *Would you like to add a second Parent/Guardian? *NoYesP/G #2: SalutationMr.Ms.Mrs.Dr.P/G #2: NameFirstLastP/G #2: RelationshipP/G #2: Is your address different than the student's?NoYesP/G #2: EmailP/G #2: Cell PhonePreviousNextEMERGENCY CONTACT INFORMATIONPlease list an emergency contact other than Parent/Guardian 1 or 2Emergency Contact *FirstLastEmergency Contact Cell Phone *Emergency Contact Relationship *MEDICAL INFORMATIONDescribe Allergies/Medical Information *Describe any sensitivities or learning needs *Sibling: Describe Allergies/Medical InformationSibling: Describe any sensitivities or learning needsComment or MessageCommentEnroll Now!
