Spring Drama Signup 2022 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 * Studio Drama Club - Jungle Book Kids - Club FULL! Email Ms. Noelle to be on the waiting list! $90/student Wednesdays 3:30pm - 4:30pm Starting Jan 5th Practices will be held at Broad Street Church of Christ Ages 6 -15 Homeschool Drama Club - Sound of Music -Club FULL! Email Ms. Noelle to be on the waiting list! $95/student Wednesdays 1:00pm - 3:00pm Starting Jan 5th Practices will be held at Broad Street Church of Christ Ages 6 - high school Show dates May 6th - 7th Commit to Help in Studio Drama Club $20 Discount Commit to at least 4 hours of helping with the Studio Drama Club practices or prodution. Student must be at least 13 years old. plus1 Add Another Student minus1 Remove Student Emergency Contact Information 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 Please ask on a case-by-case basis 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 * 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
