JRT Drama Class Registration

Please complete the entire form and type name and date at the bottom to acknowledge that parent(s), guardian(s) and student(s) have read, understand and agree with the class profile/schedule and class guidelines.

JONESBOROUGH REPERTORY THEATRE CLASS REGISTRATION
Name	*
Parent(s) Guardian(s) Name	*
How did you learn about JRT auditions? (circle all that apply)		Newspaper Radio Friend JRT email Website Other
Please provide the following information (for JRT use only)
Date of birth **If under 18 then parent or guardian must sign at bottom.	*
Current school grade	*
School Name	*
Contact phone number	*
Alternate number
Email address	*
EMAIL IS THE BEST WAY FOR US TO CONTACT YOU!
Mailing Address	*
May we add you to our mailing list?	*	Yes No
Are you currently receiving mail from JRT	*	Yes No
SPECIAL INTERESTS/TALENTS
Do you enjoy singing?	*	Yes No
List any musical instruments you play:
Do you dance?		Yes No
How many years?
Circle the styles		Jazz Ballet Hip-Hop Other
Please list any other talents or interests you have (for example - sign language etc.)
Please list any allergies and the severity of them (food, stings, medicine, etc.)
For Costuming, Casting and/or T-shirts:Please note height and T-shirt size	*
Check Your Vocal Range	*	Soprano Alto Tenor Bass Unsure
Do you have a car	*	Yes No
If no, will you be able to make dependable travel arrangements	*	Yes No
Please check your desired selection(s) for Spring 2012 Registration		Acting I- K-3rd grade - Mon 4:30 - 5:30 pm Acting II 4th - 7th grade - Mon 5:30 - 6:30 pm Theatre Arts for the Young Professional Tues 8th - 12th grade 4 - 5 pm Movement & Dance for the Stage 6th - 12th grade - Tues 5:15 - 6:15 pm Playwriting 8th - adult Thurs 4:30 - 5:30 pm
List any theatrical experiences below: past performances, classes, workshops, etc...
NOTE: All classes are $105 and are 14 weeks. Please check your calendar before committing. It is very important for students to be consistently present and on time. The class will work on many projects as a group.
Do we have your permission to use photos of this student taken in class or on class trips for the JRT scrapbook or advertising/press release purposes?	*	Yes No
PERFORMANCES will follow final classes the week of April 16-20. Students MUST commit to final performances. Please inform school and any other potential conflicts about the commitment.
Student Signature	*
Parent Signature	*