Acting Out New York Registration Form
Please fill out the information below to complete your student registration. At this time, this form isn't supported by mobile devices, so please fill it out from a laptop or desktop computer.

Within 24 hours of registration, you will receive a PayPal invoice for the tuition at the email you provided. This confirms your registration. If you have any questions please email, text or call. (actingoutnewyork@gmail.com or 310-717-5405)

One week before your scheduled camp, you will receive a WELCOME EMAIL with all of the information you need to get the most out of your week at AONY. There will be important Covid regulation instructions in this email, so please read carefully and respond. There is a 15 student cap on all camps in 2021.
Name of Student *
Child's Age *
Parent/Guardian(s) name(s) *
What is your Venmo handle? *
Within 48 hours, you will receive an invoice via Venmo. Payment of this invoice secures your spot in the program you are signing up for. If you do not have a Venmo account, please indicate below. You will then receive a PayPal invoice within the same time frame to the email you provide below.
Pronouns your child prefers *
Please list all adults who have permission to pick your child up. *
Parents, grandparents, step parents, nannies, etc.
Does your child have any medical concerns? *
The honest answering of this question will in no way inhibit your child's enrollment. It is just so we can adjust the curriculum to ensure all the children involved maximize their potential!
Does your child have behavioral or emotional concerns? *
Answering this question honestly will in no way inhibit your child's enrollment. It is just so we can adjust the curriculum to ensure all the children involved maximize their potential!
Does your child have any allergies? *
Parent/Guardian's Email *
Cornell.edu email addresses filter my emails into an unknown location. So, if you have a non-Cornell email address, please use that! This is the email I'll use to send information to you before and during your camp week!
Parent/Guardian's Phone Number *
Emergency Contact Name *
Emergency Contact Number *
Are you signing up with a friend? What is their name?
ALL CAMPS ARE FULL. Registration is still open for SHAKESPEARE FOR YOUNG ACTORS! *
Required
Anything else we should know?
Would you like to make a small donation to the scholarship program at Acting Out NY?
Suggested donation is $25, but any amount will help! The donation will be added to your PayPal invoice.
Clear selection
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy