2019 Summer Workshop Pre-Registration
Academy of The Company Theatre 2019 Summer Workshop

DATES & TIMES
Monday, June 24 to Friday, July 12 9:00AM – 3:00PM
Arts Festival Day – Saturday, July 14 9:00AM – 4:00PM Attendance at Arts Festival Day is required for performance classes.

(No Classes on Wednesday, July 4 – HAPPY FOURTH OF JULY)

TUITION: $1195.00 (Some classes have a lab fee). 10% sibling discount if registering more than one child. Discount not applicable on deposit.

A $200 deposit is required for A.C.T. jr, a $400 deposit is required all other programs.

Registration Form
This form must be filled out in full for each child. A link will be provided upon completion if you wish to register multiple children.
Workshop Registration Type *
Child's Information
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Child's T-shirt Size *
Shirt Size Chart
Parent/Guardian *
Your answer
Phone *
Your answer
Email *
Your answer
Street Address *
Your answer
City/Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Emergency Information
Contact #1 Name *
Your answer
Contact #1 Phone *
Your answer
Contact #1 Relationship to Child *
Your answer
Contact #2 Name *
Your answer
Contact #2 Phone *
Your answer
Contact #2 Relationship to Child *
Your answer
Contact #3 Name
Your answer
Contact #3 Phone
Your answer
Contact #3 Relationship to Child
Your answer
List any special information that would be helpful for us to know concerning your child’s health and/or needs(physical/emotional) including allergies.
Your answer
Please check any medication you wish to be made available to your child *
Required
Other medication, please explain
Your answer
I understand that the medication I have checked will be administered by the staff *
Required
Thank you!
The Company Theatre will email you a Pre-Registration form that you must sign and mail in with a deposit to complete registration. Class selection information will be sent in May, and final payment is due by June 8th.

If you have any questions, please call the Box Office at 781-871-2787.

Submit
Never submit passwords through Google Forms.
This form was created inside of The Company Theatre. Report Abuse - Terms of Service