INSIDE-OUT
  • Theater
  • Filmmakers
  • About Leslie
  • Register

​​Actor’s Playshop for Kids… Registration Form

(Please fill out an individual form for each child in the case of siblings.) 

Child’s Full Name _____________________________________________________
Age ____________   Gender ___________  Nickname, if any ________________

Please check the Playshop session you want to register for:
               Morning Session: 10 AM - 12 PM  (grades 1 - 3)  _________________
               Afternoon Session: 1 - 4 PM  (grades 4 - 6)  ________________
​

Parent/Guardian Information:
Parent/Guardian’s full name __________________________________________
Address_______________________________________________________________
Best phone number(s) to reach you
_______________________________      _____________________________________
Email address _________________________________________
 
Emergency Contact Information:
Name _______________________________________________________________
Relationship to child ________________________________________________
Phone number(s) __________________________  _________________________
 
Special considerations:
Please list anything the instructor should know about your child's needs during Playshop.
_____________________________________________________________________
_____________________________________________________________________
 
I will send email confirmation of your child’s enrollment in Playshop upon receipt of the Registration form and fee.  Thank you… Leslie
 
Waivers will be available for signing on the first day. 
laughingdog.net
Site powered by Weebly. Managed by Lunarpages
  • Theater
  • Filmmakers
  • About Leslie
  • Register