Teatro Visión Intro to Teatro Class Registration (age 9 - 13)
In this Introduction to Teatro class children ages 9 - 13 will develop acting skills through exploration of their own experiences, perspectives, and hopes.

Saturdays June 22 - July 20, 10:30am-12:00noon

Fee / Cuota: $100
Flexible fee if needed / Cuota flexible si lo requiere

Limited space / Cupo limitado

Questions? Dianne Vega, Program Manager: dianne@teatrovision.org, (408) 294-6621.

Learn about all of Teatro Visión’s classes / Información acerca de las clases de Teatro Visión
www.teatrovision.org/classes

Child's Name *
Your answer
Child's age *
Your answer
Name of school child attends *
Your answer
Child's grade in school *
Your answer
Street address *
Your answer
City, State, Zip code *
Your answer
Parent name *
Your answer
Parent cell phone number *
Your answer
Parent email *
Your answer
Second parent name
Your answer
Second parent cell phone number
Your answer
Second parent email
Your answer
How fluent is your child in Spanish? *
Not fluent
Somewhat fluent
Very fluent
Speaking
Reading
Writing
Does your child have any special needs in terms of physical movement or health issues we should be aware of, including food allergies, hayfever, asthma, etc.? *
If yes, please describe *
Your answer
Please list skills / theater experience such as singing, dancing, musical instruments, etc. *
Your answer
What are your child's hobbies/interests? *
Your answer
Do you agree to give permission to Teatro Visión to video and photograph your child for media and archival purposes? *
Emergency Contact Info
Name of emergency contact *
Your answer
Relationship to child *
Your answer
Cell phone number *
Your answer
Payment
Please mail a check for $100 to:

Teatro Visión
PO Box 28367
San José, CA 95159

or go to https://www.teatrovision.org/shop#!/Introduction-to-Teatro/p/105386378/category=0 to pay online.

Your registration will not be confirmed until we receive your payment.

Please be sure to click "Submit" after you fill out this form.

Thank you!

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