Kid-Versionary Winter Theatre Club is open for enrollment!
Welcome to a great partnership between Birney Elementary and your Neighborhood Theatre! Please fill in the form below for each child you are enrolling. We will be meeting in 302 (the room with the red door, across from the main office). Thanks for giving your child the gift of creativity, and we will see you soon.

Dates: Wednesdays 1:40-2:40 May 9th - June 20th

Please make sure you follow the link to pay at the end, otherwise your registration is not complete.

Your child's name *
Your answer
Your child's grade *
Your child's age *
Your answer
Parent or Guardian Name *
Your answer
Contact Information phone *
Your answer
Contact Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Allergy / or Medical info *
Your answer
Anything else about your child you would like to share
Your answer
Pick Up info *
Terms of Agreement: By signing & submitting this form you agree to permit your child to attend the KId-Versionary after school program. Parents/Guardians agree to hold harmless Diversionary Theatre, its employees, volunteers & all others working on behalf of the company against any and all claims, demands, suits, and any damages asserted, claimed or recovered against the company, its elected and/or appointed officials, by reason of personal injury, including bodily injury or death and/or personal damage, which is connected with this contract. You understand it is your responsibility to arrange for adult supervision immediately after the class. ​Parent/guardian picking up MUST come to the class site to retrieve their student. Students will not be allowed to walk home without written permission. I agree to a photo and video release. This means we may use images or video for fundraising purposes only. No Refunds will be made the week of the start of the class or camp.© 2018 All Products Copyrighted & All Rights Reserved, Diversionary Theatre. Cancellation Policy: No refunds will be given after 5/11. Thanks. *
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