Acting Academy Application
q1 *
Name and ages of students attending
q2 *
Parent name(s)
q3 *
Street Address
q4 *
City, State and Zip
q5 *
Parent's email
q6
Daytime Phone#
q7
Evening Phone#
q8
Cell Phone#
q9 *
Additional Emergency Contact (name, ph#)
q10
Does your child have any special medical or educational issues that we should be aware of to provide a safe and positive camp experience? Please explain.
q11
If you are new to Patio Playhouse briefly describe previous dance, vocal and acting experience or training.
q12
How did you hear about Acting Academy?
Clear selection
Submit
Never submit passwords through Google Forms.
This form was created inside of Patio Playhouse Community and Youtheatre.