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Broadway Theater Workshops
2021 Fall Musical
FAME
Registration Form
Participant Information (Student)
First Name
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Last Name
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Sex
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M
F
Birth Date
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Grade as of 9/21
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preschool
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
School as of 9/21:
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School Location (city, state):
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Student email address
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Student Cell Phone
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I would like to register my child for the BTW Fall Musical
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FAME JR. Grammar School Cast (Grades 3-8)
FAME High School Cast (Grades 9-12)
Have you participated in our grammar school productions, summer camps, or other workshops before?
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Yes
No
Rehearsals will take place Monday-Thursday* (Grammar School Cast 4:00-6:00 PM, High School Cast 6:00-8:00 PM) *You only need to be at your specific character’s rehearsal. Are there any conflicts that you have? Please list the day and times.
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Tuition includes costume, make-up, script, and official show Tshirt
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Paid by CHECK: Full Registration Fee (You will NOT be responsible for selling journal ads): $700
Paid by CREDIT: Full Registration Fee (You will NOT be responsible for selling journal ads): $725
Paid by CHECK: Combination of Registration Fee and Journal Ad Sales (Pay a portion of the $700 fee and make the rest up with ad sales): Fee and Ad Sales Totaling: $700
Paid by CHECK: Only Journal Ad Sales (You will be required to sell $700 worth of Journal Ads): $700
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I UNDERSTAND THAT TUITION IS DUE BEFORE CASTING AND THAT IT IS NON REFUNDABLE AFTER 9/22.
Adult Primary Contact
Relationship to Student:
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Self
Mother
Father
Guardian
Other
Other
First Name
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Last Name
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Address 1
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Address 2
City
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State
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Zip
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Cell Phone
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Home Phone
Parent Email Address
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Where or from whom did you learn about our program?
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