Student Information

Gender *
New/Returning Student *

Introduction to Theatre: June 7-18 - Wait List Only
Introduction to Theatre: July 5-16 - Wait List Only
Theatre Immersion Level 1: June 21-July 1 - Wait List Only
Theatre Immersion Level 2: June 21-July 1 - Wait List Only
EARLY BIRD PRICES THRU March 15 : DISCOUNT APPLIED AT CHECKOUT
Intro to Theatre In Person $930/$980.      Intro to Theatre Online $175
Theatre Immersion In Person $1115/$1190    Theatre Immersion Online $250/$275
Program *


 
All participants receive a T-shirt.
Permission to Photograph *

Family Information

PRIMARY CONTACT INFORMATION

PARENT 1 CONTACT INFORMATION
Check if person is an emergency contact

PARENT 2 CONTACT INFORMATION
Check if person is an emergency contact

Emergency Information

Person(s) to Notify in an Emergency (in addition to ones checked above)
 NamePhone NumberRelationship
#1
#2
#3
Besides parents/guardians the following people have permission to pick up my child from MTW:
 NamePhone NumberRelationship
#1
#2
#3