Registration for BT4W Theatre Classes and Camps
All registrants MUST be the age listed by the start of class date. NOTE refunds are not usually granted.
Student's Name *
Student's Class - choose all that apply *
Required
Student's age *
Date of Birth *
MM
/
DD
/
YYYY
Where does your student attend school? *
Grade *
Ethnicity (optional)
Allergies or any other relevant medical information
Guardian's Name *
Guardian's Email *
Cell phone number *
Can you receive texts on your cell phone? *
Address *
Best way to contact you in an emergency? *
Name of Emergency Contact *
If we can't get in touch with you
Emergency Contact Phone Number *
Do we have your permission to use pictures of the class which include your student for publicity purposes? *
Payment Method *
How did you hear about us? *
Required
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