Junior Players Registration

Welcome to the Junior Player Program for summer 2013

Please fill out the form at right to register your child.

You can pay using with a credit card or your paypal account.

Session schedule for Alice’s Avengers in Underland

3:45-5:00

Wednesday, July 3

Monday, July 8

Wednesday, July 10

Monday, July 15

Wednesday, July 17

Monday, July 22

Wednesday July 24 (Evening Dress Rehearsal)

Admissions Policies

Questions?
Contact Us

Junior Players Registration Form

Thank you for registering for LPRT's Junior Players Program.

* = Required field

Player(s) Information
Child's Name*
FirstLast
Age*
Grade (as of May 2013)*
Child's Name
FirstLast
Age
Grade (as of May 2013)
Child's Name
FirstLast
Age
Grade (as of May 2013)
Parent/Guardian Contact Information
Your Name*
FirstLast
Relationship to Child(ren)*
Mailing Address
Street AddressAddress Line 2CityStateZip Code
Primary Phone number*
Secondary Phone number
Email*
Enter EmailConfirm Email
Mandatory - This is our primary method of communication to keep you up to date on a daily basis.
In Case of Emergency

In case of emergency, if we can’t reach you, whom do we call?
Name
Phone
Child’s Physician
Phone
About Your Player(s)
Does your child have any physical problems, special medications, limitations of activity, or other considerations of which the staff should be aware? Please specify:
Has she/he had any previous performing experience? Any special skills (i.e., acting, singing, dancing, juggling, tumbling, etc.) Please specify briefly:
Legalese
Release*
- I, the undersigned, being a parent/guardian of the above, or being an active participant in Little People’s Repertory Theatre, a program operated by the San Lorenzo Valley Youth Council, Inc., do hereby agree to hold harmless for injury, loss or damage the San Lorenzo Valley Youth Council, Inc. and any or all of its employees, and any or all individuals being paid or volunteering their services connected with San Lorenzo Valley Youth Council, Inc. programs. I also give employees of the San Lorenzo Valley Youth Council, Inc. the right to authorize emergency treatment and/or ambulance service for the above, if deemed necessary by the employee.
Model Release
- I grant permission to Little People’s Repertory Theatre to use photographs of my child/ren taken during rehearsal and performances for publication in LPRT promotional materials, including the internet.
Payment
Junior Players Program Fee
Price: $125.00 Quantity:
Per child.
Total
$0.00
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Welcome to the Junior Player Program for summer 2013

Please fill out the form at right to register your child.

Session schedule for Alice’s Avengers in Underland

Junior Players Registration Form

Player(s) Information

Parent/Guardian Contact Information

In Case of Emergency

About Your Player(s)

Legalese

Payment

You're almost done!