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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Armed Forces (Americas except Canada)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
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Alberta
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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) 9/9 - 11/11 3:15P-4:00 $150
Intro to Musical Theatre
Intro to Musical Theatre (Ages 6-7) 9/9 - 11/11, 4:15P - 5:00P $150
Intro to Musical Theatre (Ages 6 - 7) 4:15P - 5:00P $150
Play Production (Ages 8-17) 9/10 - 11/12, 3:45P - 5:30P $350
Play Production (Ages 8 - 17) 9/10 - 11/12, $350
Musical Theatre Dance (Age 5-11) Wed: 10/2 - 12/11; 3:30P - 4:30P, $180
Musical Theatre Dance, Wed: 10/2 - 12/11; 3:30P - 4:30P
Musical Theatre Dance (Age 12-17) Wed: 10/2 - 12/11; 4:45P - 5:45P, $180
Musical Theatre Dance, Wed: 10/2 - 12/11; 4:45P - 5:45P
Basic Acting Skills (Age 8-17) Thu: 9/12-11/14, 4:00P-5:30P $300
Basic Acting Skills, Thu: 9/12-11/14 TIME: 4:00P-5:30P
Hip Hop Dance (Ages 5-12) Fri, 10/4-12/13, 3:30P - 4:30P $180
Hip Hop Dance, (Ages 5-12), Fri, 10/4-12/13, 3:30P - 4:30P $180
Hip Hop Dance (Ages 13-17) Fri, 10/4-12/13, 4:45P - 5:45P $180
Hip Hop Dance, (Ages 13-17), Fri, 10/4-12/13, 4:45P - 5:45P $180
Audition Prep (Ages 8 & up) Sat: 10/5 - 11/9, 10A-12P $240
Audition Prep (Ages 8 and Up), SAT: 10/5-11/9, 10A - 12P $240
The Art of Cabaret Session I: Mon 9/9 - 10/14 TIME: 5:30P - 7P, (AGES: 18 +) $180
The Art of Cabaret Session I: Mon 9/9 - 10/14 TIME: 5:30P - 7P, AGES: 18 + $180
The Art of Cabaret Session II: Mon 9/9 - 10/14 TIME: 5:30P - 7P, (AGES: 18 +) $180
The Art of Cabaret Session II: Mon 9/9 - 10/14 TIME: 7:15P - 8:45P, AGES: 18 + $180
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
