STUDENT INFORMATION
First Name
*
Last Name
*
Date of Birth
*
Age
*
Gender
*
Select from ...
Female
Male
Other
Student's City of Residence
*
School
Grade (Fall 2025)
*
Race/Ethnicity (optional)
Requested for grants and donation information.
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact 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 from all claims and liability relating to said photographs/videos.
I Agree to Photo/Video Release
If applying for Financial aid, please download and submit scholarship request form using link below.
PARENT/GUARDIAN INFORMATION
First Name
*
Last Name
*
Mailing Address line 1
*
Mailing Address line 2
Mailing Address line 2
City
*
State
*
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District of Columbia
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Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
--
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
*
*Student Registration Fee $20 (once per semester, per student) . . . . . . . . . .
*
*Student Registration Fee $20 (once per semester, per student)
SCHOOL OF ROCK (5-12 grade) Mon 4P-6P 9/15-12/8 $295
SCHOOL OF ROCK
(5-12 grade)
Mon
4P-6P
9/15-12/8
$295
M 4:00P-6:00P 9/15–12/8 $295
MUSIC INSTITUTE: Sing Out! (5-12 grade) Tue 4P-5:30P 9/16-12/9 $235
MUSIC INSTITUTE: Sing Out!
(5-12 grade)
Tue
4P-5:30P
9/16-12/9
$235
T 4P-5:30P 9/16-12/9 $235
TINY TOTS: Sing Dance Act (ages 4 - 5) Wed 3:15P-4:15P 9/17-12/10 $165
TINY TOTS: Sing Dance Act
(ages 4 - 5)
Wed
3:15P-4:15P
9/17-12/10
$165
W 3:15P-4:15P 9/17–12/10 $165
TINY TOTS: Sing Dance Act (ages 6-7) Wed 4:30P - 5:30P 9/17 - 12/10 $165
TINY TOTS: Sing Dance Act
(ages 6-7)
Wed
4:30P - 5:30P
9/17 - 12/10
$165
W 4:30P-5:30P 9/17–12/10 $165
LAUGH LAB (2-5 grade) Thu 4P-5:30P 9/18-12/11 $235
LAUGH LAB
(2-5 grade)
Thu
4P-5:30P
9/18-12/11
$235
THU 4P-5:30P 9/18–12/11 $235
DANCE FOUNDATIONS (2-12 grade) Fri 4P-5P 9/19-12/12 $165
DANCE FOUNDATIONS
(2-12 grade)
Fri
4P-5P
9/19-12/12
$165
FRI 4:00P-5:00P 9 /19–12/12 $165
DANCE INTENSIVE (5-12 grade) Fri 5:00P-6:15P 9/19-12/12 $165
DANCE INTENSIVE
(5-12 grade)
Fri
5:00P-6:15P
9/19-12/12
$165
FRI 5:00P-6:15P 9/19–12/12 $165
BEGIN MUSICAL THEATRE (2-5 grade) Sat 9:00A-10:30A 9/20-12/13 $235
BEGIN MUSICAL THEATRE
(2-5 grade)
Sat
9:00A-10:30A
9/20-12/13
$235
SAT 10:00A-10:55A 2/15–5/10 $175
BROADWAY BOUND INT/ADV (6-12 grade) Sat 11:00A-1:00P 9/20-12/13 $235
BROADWAY BOUND INT/ADV
(6-12 grade)
Sat
11:00A-1:00P
9/20-12/13
$235
SAT 11:00A-1:00P 9/20–12/13 $235
ACTING FOR THE OSCARS (6-12 grade) Sat 1:00P-2:30P 10/4-12/13 $295
ACTING FOR THE OSCARS
(6-12 grade)
Sat
1:00P-2:30P
10/4-12/13
$295
SAT 1:00P-2:30P 10/4–12/13 $195
How did you hear about PacRep's School of Dramatic Arts (SoDA) program?
Facebook
Instagram
Twitter
Monterey Bay Parent Magazine
School Announcement
Word of Mouth
PacRep Theatre website
Other (please specify):
Classes and class times are subject to change.
Financial Aid Requested
The Peppy Garner and Darnell Whitt School of Dramatic Arts (SoDA) is a program of Pacific Repertory Theatre, a non-profit organization.
Through your generous donations, the show goes on. Please donate today!
Tax Deductible Donation
USD