Name of Actor (Student) *

First Name

Last Name

Select Your Shows Here:

Godspell | Grades 7-12 | Sundays & Wednesdays, 6pm - 8:30pm | $275

Horse Girls | Grades 5-9 | Mondays & Thursdays, 6pm - 8pm | $250

Charlotte's Web | Grades 4-12 | Tuesdays 6pm - 8pm & Saturdays 10am - 12pm | $225

Charlotte's Web | PreK-2 | Saturdays, 10am - 11am | $150

Select Your Workshops Here:

Improv! (Grades 4-9) | Sat 1pm - 2:30pm | $125

ACTing Up! (Grades 3-5) | Sun 12pm - 1:30pm | $125

PLAYing Around! (Grades PreK-2) | Sun 10am - 11am | $100

Birthdate

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Cell *

(###)

###

####

Actor Cell

(###)

###

####

Home Phone

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Emergency Contact # *

(###)

###

####

PLEASE NOTE *

By registering for a Pride Performing Arts workshop or accepting a role in a production, you agree to have your/your child's photo, likeness and/or first name used in all forms of publicity via advertisements, social media or websites. If you do not wish your/your child's photo or name to be used, please notify us in writing before the start of the first class or rehearsal process. Payment is due upon Invoice receipt. A one-time $25 registration fee will be applied to all new students.

I Agree