STUDENT INFORMATION
First Name
Last Name
Date of Birth
Age
Male
Female
School
Grade
Race/Ethnicity (optional)
Requested for grants and donation information.
Emergency Contact Name
Relationship
Phone #
I understand that in the event of an emergency PacRep/SoDA will make every effort to reach a parent or guardian, however, if that is not possible, SoDA has permission to seek appropriate medical care. I understand that PacRep Theatre and SoDA will not be held responsible for any medical expenses for the student.
I Agree to the Emergency Release
*
Please read and agree: I understand and agree to behave in a respectful manner towards all SoDA instructors, students, materials, and locations at all times. My right to attend class(es) can be revoked should I not adhere to a proper behavior code.
I Agree to Code of Conduct
*
For valuable consideration received, I hereby grant SoDA and its legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs/videos of my child in class at SoDA, for editorial trade, advertising and any other purpose and in any manner and medium; and to alter the same without restriction. I hereby release SoDA of its legal representatives and assigns form all claims and liability relating to said photographs/videos.
I Agree to Photo/Video Release
PARENT/GUARDIAN
First Name
Last Name
Street Address
City
State
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Puerto Rico
Virgin Islands
Federated States of Micronesia
Marshall Islands
Palau
Armed Forces (Americas except Canada)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
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Quebec
Saskatchewan
Yukon
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Other...
Zip Code
Phone #
Work Phone #
E-mail Address
*
New Student Registration Fee $20
This Fee applies to new students attending SoDA classes for the first time.
Intro to Musical Theatre (Age 4-5) 2/3 - 4/20 3:00P-3:45 $180
Intro to Musical Theatre
Intro to Musical Theatre (Ages 6-7) 2/3 - 4/20, 4:00P - 4:45P $180
Intro to Musical Theatre
Play Production (Ages 8-17) 2/4 - 4/21 3:30P - 5:00P $270
Play Production (Ages 8 - 17)
Improvisational Comedy (Age Mid/High Sch) Wed: 2/5-4/22, 3:30P-5:00P $270
Improvisational Comedy, Wed: 2/5 - 4/22 TIME: 3:30P-5:00P
Freestyle Fairy Tales, (Ages 4-5), Thu, 2/6-4/23, 3:00P - 3:45P $180
Freestyle Fairy Tales, (Ages 4-5), Thu, 2/6-4/23, 3:00P - 3:45P $180
Freestyle Fairy Tales, (Ages 6-7), Thu, 2/6-4/23, 3:00P - 3:45P $180
Freestyle Fairy Tales, (Ages 6-7), Thu, 2/6-4/23, 4:00P - 4:45P $180
Broadway Musical Theatre, (Ages Mid/High Sch), Fri, 2/7-4/247, 3:30P - 5:00P $270
Broadway Musical Theatre, (Ages Mid/High Sch), Fri, 2/7-4/247, 3:30P - 5:00P $270
Saturday Academy, (1st & 2nd Grades), Sat, 2/15-5/23, 9:00A - 9:50A $225
Saturday Academy, (1st & 2nd Grades), Sat, 2/15-5/23, 9:00A - 9:50A $225
Saturday Academy, (3rd & 4th Grades), Sat, 2/15-5/23, 10:00A-10:50A $225
Saturday Academy, (3rd & 4th Grades), Sat, 2/15-5/23, 10:00A-10:50A $225
Saturday Academy, (5th Grade), Sat, 2/15-5/23, 11:00A - 11:50A $225
Saturday Academy, (5th Grade), Sat, 2/15-5/23, 11:00A - 11:50A $225
Saturday Academy, (6th Grade), Sat, 2/15-5/23, 12:00P - 12:50P $225
Saturday Academy, (6th Grade), Sat, 2/15-5/23, 12:00P - 12:50P $225
Saturday Academy, (7th & 8th Grades), Sat, 2/15-5/23, 1:30P-2:45P $225
Saturday Academy, (7th & 8th Grades), Sat, 2/15-5/23, 1:30P-2:45P $225
Saturday Academy, (9th-12th Grades), Sat, 2/15-5/23, 3:00P-4:30P $225
Saturday Academy, (9th-12th Grades), Sat, 2/15-5/23, 3:00P-4:30P $225
The Art of Cabaret Session I: Mon 1/27-3/16 TIME: 5:30P - 7P, AGES: 18+ $240
The Art of Cabaret Session I: Mon 1/27-3/16 TIME: 5:30P - 7P, AGES: 18 + $240
The Art of Cabaret Session II: Mon 7:15-8:45 TIME: 7:15P - 8:45P, AGES: 18+ $240
The Art of Cabaret Session II: Mon 7:15-8:45 TIME: 7:15P - 8:45P, AGES: 18+ $240
How did you hear about PacRep's School of Dramatic Arts (SoDA) program?
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Word of Mouth
Classes and class times are subject to change.
Financial Aid Requested
The School of Dramatic Arts (SoDA) is a program of Pacific Repertory Theatre, a non-profit organization. Through your generous donations, the show goes on.
Tax Deductible Donation
