Spring/ Fall Performance Workshop Registration Form

Please fill out this form to the best of your knowledge. Please submit a new form for each child you are registering. This form should take no more than 10 minutes to complete. Please reach out to maddie@theaterintheopen.org with any questions.

Child/Children's Name (first & last)

Child/Children's date of birth

Primary Contact Name

Primary Contact Phone Number

(###)

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Primary Contact Email

Alternative Contact Name

Alternative Contact Phone Number

(###)

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Alternative Contact Email

We will send all Workshop related emails to this account as well

Alternative Contact Relationship

Please list any known medical conditions

Please list any relevant behavioral patterns that would be helpful for our staff to know in order to support your child/children in having a successful workshop experience.

Does your child/children require any special accommodations?

What are some of your child/children's interests or hobbies?

Any other notes you would like to include about your child/children?

Is this your first Workshop experience with Theater in the Open?

Yes