Student Name *

First Name

Last Name

How to communicate with you? (choose one) *

Email

Phone

Have you taken theater classes before? *

Yes

No

Have you taken music classes before? *

Note: Your acceptance into this program is NOT dependent upon your having studied music in the past.

Yes

No

Verify that to the best of your current knowledge, you will be able to attend both program days in full. *

Yes, I will be able to attend both days

No, I can't guarantee that I'll be able to attend both program days.

Tell us (in 200 words or less) about why you would like to participate in this event *

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