STAGES! YAGMCB SPRING 2019
STUDENT APPLICATION FOR AGES 7-17

STAGES! - Mondays, Tuesdays, & Wednesdays 4pm - 6pm l February 4th - April 10th
- TECH WEEK- April 15-17th
- PERFORMANCES - April 18th, April 19th, April 20th

Art House Productions’ acclaimed youth theater program STAGES! is now enrolling for the Fall Musical Production of You're a Good Man Charlie Brown! STAGES! provides a unique opportunity for students in 2nd through 12th grades to learn about all aspects of working on a musical production. Students will work with professional theater artists, build confidence and performing skills, and learn about the ins and outs of telling a story through song and dance.

Early registration ($500 per student) thru December 30th, 2018. After December 30th ($650 per student)
*Full and partial scholarships available. Please contact Meredith Burns at info@arthouseproductions.org for more info
*15% sibling discount

PAYMENT

Participant's Full Name *
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Is there a sibling participating? If so, please list their name(s).
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Gender Identity *
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Date of Birth *
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DD
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YYYY
Age as of February 2019 *
Your answer
Street Address *
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City / State *
Your answer
Zip *
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Parent (s) Name *
Your answer
Parent(s) Email Address: *
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Contact # *
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Student's Email Address (If Authorized) *
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Emergency Contact Name *
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Emergency Contact Phone # *
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Does your child have permission to walk home alone?
If you answered "No" to the previous question - Please list the names of the Adult(s) Authorized to pick up your child.
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Is there anyone who is NOT Authorized to pick up your child?
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