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 * logo required delete move drag clear noclear duplicate copy clone tooltip tooltip_solid forbid checkmark image checkmark circle checkmark square check check1 plus plus1 plus2 plus3 plus4 minus minus1 minus2 minus3 minus4 cancel cancel1 close report_problem_solid report_problem arrowup arrowup1 arrowup2 arrowup3 arrowup4 arrowup5 arrowup5_solid arrowup7 arrowup6 arrowdown arrowdown1 arrowdown2 arrowdown3 arrowdown4 arrowdown5 arrowdown5_solid arrowdown7 arrowdown6 arrow_left arrow_right filter download upload2 download2 hard_drive pencil_solid pencil signature register account_circle_solid account_circle address_card paragraph checkbox_unchecked checkbox checkbox_solid dropdown caret_square_down radio_unchecked scrubber location_solid location toggle_on toggle_off shield_check shield_check_solid clock clock_solid email_solid mail_bulk code tag tag_solid price_tags search sitemap file file_text_solid file_text option option_solid more_horiz more_vert more_horiz_solid more_vert_solid calculator key keyalt_solid keyalt keyboard eye eye_solid eye_slash_solid page_break view_day attach_file printer header h1 repeat repeater save sliders code_commit star star_full star_half linear_scale pie_chart stats_bars sms highrise mailchimp feed align_right align_left button browser cloud_upload_solid shuffle swap pallet fingerprint ghost heart_solid heart history import export label_solid label lock_open lock dollar_sign percent notification external_link pageview_solid pageview settings stamp support text white_label authorize activecampaign aweber campaignmonitor constant_contact getresponse googlesheets building hubspot icontact mailpoet paypal icon sendinblue sendy salesforce salesforcealt stripe stripealt twilio woocommerce wordpress credit_card credit_card_alt cc_amex cc_discover cc_mastercard cc_visa cc_paypal icon cc_stripe price product total quantity directory Zapier Preview 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 * 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
