Fall Drama Signup 2023 Parent/Guardian Name * First Last * Last Email Address * Phone Number * Student Information Student's Name * First Last * Last Birthdate * Any Allergies * Yes No Please list all allergies * Club Info: Clubs will all begin on August 9th! Studio Drama Club--meets Wednesday from 3:30-4:30 Practices will be held at Franklin Road Baptist Church Blackboot's Lost Loot - CLUB FULL Ages 6 and up You can read an excerpt here: https://www.pioneerdrama.com/Script_Preview/BLACKBOOTS_0114_Script_Sample.pdf Homeschool Kids Club--meets Wednesdays from 1:00-2:00 The Lion, the Witch, and the Wardrobe - CLUB FULL Ages 6 - 12 You can read an excerpt here: https://www.dramaticpublishing.com/media/pdf/excerpts/exLionWitchWardrobeL62.pdf Homeschool Teen Club--meets Wednesdays from 2:00-3:00 The Miracle Worker* Ages 12 - High School *Note: Miracle Worker is a small cast show. If more than 12 teens sign up, we will be switching to "Murder at the Renaissance Fair". You can read more about it here: https://www.concordtheatricals.com/p/2824/the-miracle-worker Choose Your Drama Club * Homeschool Teen Club - The Miracle Worker (Ages 13-Highschool) Choose Your Drama Club Purchase a Club T-Shirt ($12) * Yes No T-Shirt Size * Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLarge Add a Show T-Shirt ($12) plus1 Add Another Student minus1 Remove Student Emergency Contact Information Please enter contact information for someone other than yourself. This will only be used if we are unable to contact you during an emergency. Emergency Contact Name * First and Last Emergency Contact Phone Number * Permission Slip Please download the permission slip, fill it out, and bring it with you on the first day. DOWNLOAD HERE Photo and Video Release * Yes No Does the instructor have permission to feature photos and/or videos of this student (never using full last name) on the studio bulletin board, website, Facebook page, and/or promotional items? Total Cost This is the total cost for your camper and camp selections. Credit Card * Credit Card Credit Card Credit Card Month 123456789101112 Credit Card Year 20232024202520262027202820292030203120322033 Credit Card Billing Address * Billing Address Billing Address Billing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal If you are human, leave this field blank. Submit
