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ZOOM-PROV CLASSES
Email *
Choose a session *
Child's Name *
Child's Age *
Date of Birth *
MM
/
DD
/
YYYY
Address *
Parent Email *
Parent Cell Phone *
Emergency Contact Name *
Emergency Contact Phone Number *
Please list any allergies or medical information we need to know for child registered: *
Who is permitted to pick up your child? (These are the only people we will allow to pick up your child unless written notice is given) *
ABOUT YOUR CHILD
Strengths and Interests *
Challenges *
Possible Anxieties
Is your child currently doing online learning? If so, which days.
Anything more we should know to make your child's experience with improv most successful?
A copy of your responses will be emailed to the address you provided.
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