Roosevelt Improv is now open for enrollment.
Welcome to a great continuing partnership between Roosevelt Middle and your neighborhood professional theatre! This semester we will be offering our improv club, a program that focuses on improv and comedy that is great for building self confidence, and greater expression.

Please fill in the form below for each child you are enrolling. We will be meeting in the Danshaw Room (off the library) Thanks for giving your child the gift of creativity, and we will see you soon.

Dates: Day Tuesdays February 4th through May 5th from 1:30-2:30 PM, The club will have a final sharing on the last week Time and date TBA.

There is no class on 2/25 or 3/31 (Parent meetings and vacation)

Your enrollment is not complete until you complete the payment link at the end of the survey, Thanks.

Some scholarships may be available: email after you complete this form.
Your child's name *
Your child's grade *
Your child's age *
Parent or Guardian Name *
Contact Information phone *
Contact Email *
Emergency Contact Name *
Emergency Contact Phone *
Allergy / or Medical info *
Anything else about your child you would like to share
Pick Up info
Clear selection
Terms of Agreement: By signing & submitting this form you agree to permit your child to attend the KId-Versionary after school program. Parents/Guardians agree to hold harmless Diversionary Theatre, its employees, volunteers & all others working on behalf of the company against any and all claims, demands, suits, and any damages asserted, claimed or recovered against the company, its elected and/or appointed officials, by reason of personal injury, including bodily injury or death and/or personal damage, which is connected with this contract. You understand it is your responsibility to arrange for adult supervision immediately after the class. ​Parent/guardian picking up MUST come to the class site to retrieve their student. Students will not be allowed to walk home without written permission. I agree to a photo and video release. This means we may use images or video for fundraising purposes only. Refunds will be given at the discretion of the Diversionary team © 2020 All Products Copyrighted & All Rights Reserved, Diversionary Theatre. Cancellation Policy: *
Never submit passwords through Google Forms.
This form was created inside of Diversionary Theatre Productions. Report Abuse