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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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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American Samoa
Guam
Northern Mariana Islands
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
Prince Edward Island
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.
Play Production (Ages 8-17) 2/4 - 4/21 3:30P - 5:00P $270
Play Production (Ages 8 - 17)
Freestyle Fairy Tales, (Ages 4-7), Thu, 2/6-4/23, 3:00P - 3:45P $180
Freestyle Fairy Tales, (Ages 4-7), Thu, 2/6-4/23, 3:00P - 3:45P $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 - 4th Grades), Sat, 4/4-6/6, 10A - 11A $225
Saturday Academy, (1st - 4th Grades), Sat, 4/4-6/6,10A - 11A $225
Saturday Academy, (5th - 12th Grade), Sat, 4/4-6/6, 11:30A - 12:30P $225
Saturday Academy, (5th-12thGrade), Sat, 4/4-6/6, 11300A - 12:30P $225
The Art of Cabaret Session I: Mon 1/27-3/16 TIME: 6:00P - 7:30P, AGES: 18+ $240
The Art of Cabaret Session I: Mon 1/27-3/16 TIME: 6:00P - 7:30P, AGES: 18 + $240
How did you hear about PacRep's School of Dramatic Arts (SoDA) program?
Facebook
Twitter
School Announcement
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
