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HOME
ABOUT US
CLASSES & CAMPS
KIDS & YOUTH
>
CLASSES & PROGRAMS
ADULTS & SENIORS
>
ADULT IMPROV
PRISM
TICKETS
CONTACT US
REGISTRATION FORM
IMPORTANT! If you are signing up multiple children, please submit a separate form for each one.
Payment via cash or cheque accepted on the first day of class.
*
Indicates required field
Which program is the participant signing up for?
*
A Play In A Day - PA Day program
Journey of the Noble Gnarble - After School program
Intro to the Theatre - After School program
Arabian Nights - March Break program
PARTICIPANT'S INFORMATION
Participant's Name
*
First
Last
Participant's Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Participant's Date of Birth
*
Participant's Age (as of Dec 31)
*
Does the participant have any allergies or medical conditions that we should be aware of prior to classes?
*
PARENT/LEGAL GUARDIAN'S INFORMATION
Parent/Guardian's Name
*
First
Last
Parent/Guardian's Email
*
Parent/Guardian's Phone Number
*
Parent/Guardian's Cell Phone Number
*
EMERGENCY CONTACT INFORMATION
Emergency Contact Name
*
First
Last
Emergency Contact Phone Number
*
How did you hear about us? (Check all that apply)
*
Friend/Relative
Social Media
Newspaper/Radio
Past class participant
Other
Comments/Questions
*
Submit