Teen Improv Fall 2018
Classes begin Sept 10th. The final demo will be November 5th.
Participant's Name *
Your answer
Parent's Name *
Your answer
Phone Number *
Your answer
Email address *
Your answer
Address *
Your answer
Have you signed up for the Teen Theater Fall Production too? *
Grade Level *
Which level... *
Payment Method *
Would you like to add to your payment to help fund Verge's scholarship program? Any amount--no matter how small--helps us keep our programs open to all teens!
Photo Release
Verge collects photos and video of our classes and productions. We use these photos and videos for out website, publicity, grant applications, reports to granters and sponsors, and for archive.

A parent may withhold permission to have a student photographed and/or videotaped.

If you DO NOT want your child to be photographed and/or videotaped check the appropriate box(s) below and sign:

I wish to WITHHOLD consent for the following:
Electronic signature
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