Registration Form - BTC Tech Program
Please complete this form to participate in the 2019-2020 BTC Theater Tech Program
Student First Name *
Your answer
Student Last name *
Your answer
Student Grade (2019-2020) *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
Your answer
2nd Parent/Guardian First Name (optional)
Your answer
2nd Parent/Guardian Last Name (optional)
Your answer
2nd Parent/Guardian Email (optional)
Your answer
2nd Parent/Guardian Phone Number (optional)
Your answer
Emergency Contact First Name *
Your answer
Emergency Contact Last Name *
Your answer
Emergency Contact Phone Number *
Your answer
What Theater Tech Topics are you interested in? Please rank them in order from 1-5, 1 = most interested *
1
2
3
4
5
Design/Sets
Paints/Props
Sound/Lights
Costumes
Run Crew
Do you have any special talent or experience you would like to share?
Your answer
Are you currently cast in a Fall production or have other activities you are committed to but still want to work toward earning tech hours? *
What Tech Program offerings are you interested in this Fall (choose as many as you like) *
Required
Do you plan on applying for a Fall Production crew? *
What Tech Program offerings are you interested in the Spring (choose as many as you like) *
Required
Shirt Size *
The undersigned hereby gives permission for their child: *
Required
Acknowledged by Parent (enter first and last name) *
Your answer
Acknowledged by Student (enter first and last name)
Your answer
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