Music Makers & Shakers Tuesdays 9:05-10:05AM Winter 2022 Jan 18-March 8

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Available Sections

GA: $165.00
Waitlist: $0.00

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Student Name:

Date of Birth (MM/DD/YYYY):

Age:

Grade:

Gender:

Non-Binary

Female

Male

Please provide allergies, physical, cognitive, medical, emotional or learning needs specifc to your student that will assist in providng the best possible experience.

Phone Number-please provide the FIRST CONTACT name & phone number for the week of camp.s.

Please provide an EMAIL. Stages Theatre Company will send out important information and reminders about the class/workshop.

Please provide an alternate emergency contact name & phone number.

Stages Theatre Company has a professional photographer who may take photos and/or video during workshops, workshop presentations and classes for our archives and for use in future education program marketing in print, broadcasting and online (no names would be listed with photos/video). Please check the appropriate place below.

YES my child's photo may be used without name

NO do not use my child's photo

I hereby agree to have my child take part in Stages Theatre Company’s Education Programming. In case of an accident, the staff will administer reasonable first aid, contact parents immediately, and take precautions to ensure the safety and well-being of my child. I agree to release Stages Theatre Company, FAIR School Crystal & Pilgrim Lane, Chesterton Academy, Hopkins Center for the Arts, and their respective staffs from liability for any accident that may occur during the course of the program.

I Agree

Available Groups

Available Sections

Regular $165.00

Waitlist $0.00

Regular $165.00

Waitlist $0.00

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Available Groups

Available Sections

Quantity for GA

Regular $165.00

Quantity for Waitlist

Waitlist $0.00

Quantity

Regular $165.00

Waitlist $0.00

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