Participant Information (Student)

First Name *

Last Name *

Sex *

Birth Date *

Grade as of 9/21 *

School as of 9/21: *

School Location (city, state): *

Student email address *

Student Cell Phone *

I would like to register my child for the BTW Fall Musical *

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? *

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. *

Tuition includes costume, make-up, script, and official show Tshirt *

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

*

I UNDERSTAND THAT TUITION IS DUE BEFORE CASTING AND THAT IT IS NON REFUNDABLE AFTER 9/22.

Adult Primary Contact

Relationship to Student: *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Cell Phone *

Home Phone

Parent Email Address *

Where or from whom did you learn about our program? *