Registration for "Let's Play It Academy" (A program partnership of The Mosaic Hub & Stageworks Theatre)
Get excited about your school's K-3rd & 4-5th grade after school theater and drama programs... kids will get to put on a show performed on a real stage! We build IMAGINATION, COLLABORATION, and CONFIDENCE! Class includes thematic GAMES, ACTING scenes, BUILDING sets, CREATING props and more! (Note: this is different than our bilingual "Let's Play It Drama Linguistics". This class is English only.)

(Note that when you register here, it is only covering this upcoming semester 2 fees to us as the service provider of this program. ****All students need to additionally enroll in "After 3" if not already a participant, in order to participate in this enrichment program. Click the "Enrichment Only" option at after3asp.com. It is a $50 fee. If children are participating in multiple clubs they only pay the $50.00 fee one time per semester. This fee covers pick up from their grade level pods, a light daily snack, dismissal to clubs and pick up/drop off to After 3 when clubs end. Parents may leave their children with After 3 on their club days as late as 6:30 p.m. If a child is already enrolled with After 3 full time, they do not pay an additional enrichment fee. Their monthly tuition includes the service already.)

For a complete run down on dates for the year, find your school from the list below...

OAK FOREST ELEMENTARY = Wednesdays, 3:20 to 4:30 pm
-SEM 2: Jan. 24, 31, Feb. 7, 14, 21, 28, Mar. 7, (Mar. 14 no class), 21, 28, Apr. 4, 11, 18, 25, May 2, Show Date TBD @ Location TBD

DURHAM ELEMENTARY = Fridays, 3:20 to 4:30 pm
-SEM 2: Feb. 2, 9, 16, (Feb. 23 school out early, class still at regular time), Mar. 2, 9, (Mar. 16 no class), 23, (Mar. 30 no class), Apr. 6, 13, 20, 27, May 4, 11, 18, Show Date TBD @ Location TBD

*Final show location subject to change.

*Participation cost: $210 total for 14 classes. An additional $40 registration fee covers supplies.

*SPACE LIMITED. FIRST COME. FIRST SERVED.

We look forward to working with your child, and cheers to a great year!

Natalie Lerner
Artistic Director
The Mosaic Hub
natalie@mosaic-hub.com
www.mosaic-hub.com
&
Administration and Academy Director
Stageworks Theatre
nlerner@stageworkstx.org
www.stageworkstx.org

Name of Student : *
Your answer
Date of Birth: *
Your answer
Student Age: *
Your answer
Student Nickname:
Your answer
Student Gender *
Required
Name of School: *
Your answer
Name of Parent/Guardian/Primary Contact: *
Your answer
Mailing Address: *
Your answer
Home Phone: *
Your answer
Cell Phone: *
Your answer
Work Phone: *
Your answer
Email Address Primary Contact Checks Frequently: *
Your answer
Emergency Contact #1 Name: *
Your answer
Relationship to Student: *
Your answer
Emergency Contact #1 Home Phone: *
Your answer
Emergency Contact #1 Cell Phone: *
Your answer
Emergency Contact #2 Name: *
Your answer
Relationship to Student: *
Your answer
Emergency Contact #2 Home Phone: *
Your answer
Emergency Contact #2 Cell Phone: *
Your answer
Does your child have any medical conditions, allergies, special needs, or behavior issues the staff should know about? *
Your answer
Is your child taking any medications to treat these conditions? *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms