2019 Teens Speak Up
Please fill out this registration form to apply to be a part of our Speak Up Workshop for Teens! Upon completion, a member of the Chance Theater's Education Department will be in touch with you for phase two of the application process and Interview information.

For more detailed information about the Speak Up program, visit www.ChanceTheater.com/speakup
Email address *
What session would you like to attend? *
Student Name *
Your answer
Student Home Phone *
Your answer
Student Cell Phone
Your answer
Student Email *
Your answer
School *
Your answer
School District *
Your answer
Grade (2019-20 School Year) *
Referring Teacher or Person
Your answer
Are you available for the ENTIRE rehearsal and performance schedule? Classes: June 17th - July 19 (Monday, Wednesday and Friday), Tech and dress rehearsals: July 22- 26th (Monday-Friday) and Performances on July 27th and 28th (Saturday and Sunday) at 11:00 am and 7:00 pm. *
List all potential and known conflicts for the above dates.
Your answer
Parent/Guardian Information
Parent/Guardian Name *
Your answer
Relationship *
Your answer
Parents/Guardian Cell Phone *
Your answer
Parent/Guardian Secondary Phone *
Your answer
Parent/Guardian email
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Student Information
Have you participated in Speak Up before? *
If yes, list the years that you've participated.
Your answer
Tell us a bit about yourself. *
Your answer
Do you currently take any classes in the performing arts? (Music, Dance, Theater)? *
If so, describe your classes.
Your answer
Have you ever been in a play or musical production in your school or community before? *
If so, list show, location, and role.
Your answer
List any professional theater productions you have seen. *
Your answer
What areas of the performing arts are you most interested in learning about? *
Check all that apply
Required
Do you have any special talents we should know about? *
Musical instruments, skills, etc..
Your answer
Would you like to make the arts part of your career? *
Explain
Your answer
Why do you want to attend Speak Up? *
Your answer
A copy of your responses will be emailed to the address you provided.
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