First Stage Brightmoor Winter/Spring 2019 Ensemble Registration Form
Mosaic Youth Theatre of Detroit's mission is to  empower young people to maximize their potential through professional performing arts training and creation of theatrical and musical art that engages, transforms and inspires.

Mosaic's First Stage Programs introduce Young Artists, grades 5-10, to Mosaic's brand of high-energy, empowering and inspiring performing arts training.

 First Stage Brightmoor Neighborhood
Location: Leland Community Affairs Inc. 22420 Fenkell Detroit,MI
Ages: 11-14
Cost: No fee. Max M. Fisher and Marjorie S. Fisher Foundation

Rehearsals begin Monday, February 4th
Rehearsals end the week of November April 17th.  Showcase Wednesday, April 17th.

Days and Times : Mondays and Wednesdays from 5:30 pm - 7:30 pm
Will take place two days a week after school.
*First Stage Brightmoor is home to our First Stage Choir and First Stage Brightmoor Acting program.



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Young artist's last name *
Young artist's first name *
Young artist's street address *
Young artist's city of residence *
In which First Stage program will your young artist participate? *
Young artist's state of residence *
Zip Code *
Young artist's home phone number *
Young artist's email address *
Young artist's date of birth  (MM/DD/YYYY) *
Young artist's school *
What grade will the young artist enter in the Fall? *
Gender *
Young Artist Age *
Disability *
How did you hear about Mosaic? *
Race (Please select all that apply) *
Required
Major Cross streets *
Side of town *
Parent/ Guardian name (Last, First) *
Parent / Guardian street address *
Parent / Guardian City *
Parent / Guardian State *
Parent / Guardian Zip Code *
Home Phone *
Cell phone *
Work Phone
Parent / Guardian email address *
Employer *
Primary Lauguage *
Relationship to young artist *
Parent / Guardian 2 Name (Last, First)
Parent / Guardian 2 street  address
Parent / Guardian 2 state
Parent / Guardian 2 Zip code
Parent / Guardian 2 Home Phone
Parent / Guardian 2 Cell Phone
Parent / Guardian 2 Work Phone
Parent / Guardian 2 Email Address
Parent / Guardian 2 Employer
Parent / Guardian 2 Primary Language
Clear selection
Relationship to young artist
Clear selection
Emergency Contact Person 1 Name (Last.. First) *
Emergency Contact Person 1 Telephone Number *
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