Avenue Winter/Spring Youth Programs 2019-20
LOCATION: 780 Joseph Avenue (Fully accessible. For all abilities.)

Begins Tuesday, January 7th (Ages 13 and up), then rolling admission.
Mandatory 12/17 - 12/19 Fellowship orientation/training week for those applying to be an Avenue Youth Fellow for Winter/Spring 2019.

AGES: After-school from 3 - 6 pm we offer middle - high school age performing arts programs. Please complete one form for each child participant. To sign up for our Saturday/Sunday programs for youth ages 11 and under, please also join our mailing list at avenuetheatre.org.

GROUPS: Please email your reservation request to theavenueblackbox@gmail.com.

SPECIAL NOTE: Thanks to the generosity of private donors, in-kind contributions and our volunteers; The Avenue Children's Theatre Project is TUITION-FREE for city youth who are unable to pay. Tuition costs for all others are $200 per 12-week semester for ages 12 and up, payable at paypal.me/avenueblackbox or in person.

**We ask those who can to also consider donating a little something extra to the Avenue Children's Theatre Project so that we can continue to offer TUITION & ADMISSION FREE programing for our youth that need it the most. Tax deductible options and more info on how to make gifts can be found at: AVENUETHEATRE.ORG/DONATE, directly to paypal.me/avenueblackbox. Or in person or by mail to: 780 Joseph Avenue, Rochester, NY 14621.

QUESTIONS OR CONCERNS? Please call 585-491-6730 or email info@avenuetheatre.org.
Email address *
Participant Last Name *
Your answer
Participant First Name *
Your answer
Participant Age *
Your answer
Street Address *
Your answer
Zip Code *
Your answer
Which program are you registering for? (one form per child) *
Tuition Waiver *
We are TUITION-FREE for city youth who are unable to pay. Please request a tuition waiver below if needed.
For Partial Waiver. How much can you pay?
Partial tuition can be paid at paypal.me/avenueblackbox or in person.
Your answer
Please indicate how much you are pledging to support arts access for all. You can donate at avenuetheatre.org or PayPal.Me/avenueblackbox. Monthly giving is also possible and encouraged through avenuetheatre.org!
Your answer
T-shirt size
Are you able to pay $25 registration fee for the program t-shirt and bag? *
(No worries if you can't. We can help!)
Healthy Snacks provided daily by Foodlink. No junk food or outside drinks will be allowed at camp. Water bottles are allowed and encouraged but must be filled on site. Water fountain onsite.
Dietary restrictions *
Please list any allergies, health restrictions, special needs. The Avenue is for everyone, so we would like to prepare for any special accommodations we haven't thought of!
Your answer
Parent or Guardian Name *
(*Young adults over the age of 18, just list your emergency contact here.)
Your answer
Parent or Guardian Contact number *
(*Young adults over the age of 18, just list your emergency contact's phone number here.)
Your answer
I am the parent or guardian and give consent for my child to fully participate in the 2019-20 Avenue after-school youth program and be photographed for promotional purposes. *
Thank You! Someone will contact you soon. Please plan to come in after school on the Tuesday or Thursday after you complete this form for orientation. We’ll see you then!
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