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2018 Spectrum Speak Up
Please fill out this registration form to apply to be a part of our Spectrum Speak Up Workshop! This workshop is made possible through our partnership with the Orange County Asperger's Support Group (OCASG) and Dr. Asha Bhakta.  Upon completion, a member of the Chance Theater's Education Department will be in touch with you for phase two of the application process and interview information.
JUNE 26, 2018- JULY 26, 2018 (Meeting Tuesdays and Thursdays  from 10:00 am to 3:00 pm)
JULY 30, 2018- AUGUST 4, 2018 (Meeting Monday- Friday for Tech Rehearsal from 10:00 am to 3:00 pm)
AUGUST 4, 2018 (Performances at 11:00 am and 4:00 pm)
For more detailed information about the Speak Up program, visit www.ChanceTheater.com
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Email *
Student Name *
Student Home Phone *
Student Cell Phone
Student Email
School *
School District *
Grade (2018-19 School Year) *
Referring Teacher or Person
Are you available for the ENTIRE rehearsal and performance schedule? Classes: June 26th - July 26 (Tuesdays and Thursdays), Tech and dress rehearsals: July 30th- August 4th (Monday-Friday) and Performances on August 4, 2018 (Saturday) at 11:00 am and 4:00 pm. *
List all potential and known conflicts for the above dates.  
Parent/Guardian Information
Parent/Guardian Name *
Relationship *
Parents/Guardian Cell Phone *
Parent/Guardian Secondary Phone *
Parent/Guardian email
Address *
City *
Zip *
Student Information
Have you participated in Speak Up before? *
If yes, list the years that you've participated.
Tell us a bit about yourself. *
Do you currently take any classes in the performing arts? (Music, Dance, Theater)? *
If so, describe your classes.
Have you ever been in a play or musical production in your school or community before? *
If so, list show, location, and role.
List any professional theater productions you have seen. *
What areas of the performing arts are you most interested in learning about? *
Check all that apply
Required
Do you have any special talents we should know about? *
Musical instruments, skills, etc..
Would you like to make the arts part of your career? *
Explain
Why do you want to attend Speak Up? *
A copy of your responses will be emailed to the address you provided.
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