Referral Tracking
Thanks for helping us spread the word about CTC's Walden Theatre Conservatory!
Please follow the prompts below to enter your contact info and the names of the students you've referred to our programs. You're welcome to return to the form and add more names as you make your referrals.

Each *NEW* student (age 5-18) you refer now through December 31, 2019 who enrolls in the Conservatory for Spring 2019 makes you are eligible for a $50 Amazon gift card. A new student is someone who has not participated in the Walden Theatre Conservatory previously (Conservatory includes Summer Programs).

This tracking form helps us identify who referred the new student, and (in the case of multiple referrals) who we can identify as the FIRST person to enter the referral on this form.

Referrer must be age 16+. For those younger than that, a parent/guardian must complete the form to be eligible.

The rules above are not complete. The full details on eligibility, rules, exclusions, and time frame are available on the Referral page of our website (
Email address *
Your first name *
Your answer
Your last name *
Your answer
Your phone number *
Your answer
Your relationship with CTC's Walden Theatre Conservatory *
Names of referred new students *
Please list the names of the new* student(s) you've referred for enrollment. (*See rules on our website for definition of "new" student.) You can return and complete a new form if you end up referring additional young people to join the program.
Your answer
Thank you for the referral!
The new student you refer must enroll by January 7 to make you eligible for the gift card. Give them a nudge over the holidays!
We are hosting a free info/welcome session for new and prospective students and their families on January 6. Referrals are welcome to visit us online and RSVP for that event before signing up.

Thanks again!
A copy of your responses will be emailed to the address you provided.
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