Parkway Playhouse · Parkway Playhouse Summer Playwrighting Workshop Registration

Information

Come and spend a week learning about the craft of playwrighting and play construction. The week-long class will be taught by Jenny Martin. The class is open to ages 12-18. You must have reliable WiFi or internet to attend.

Calendar

Classes will online, daily, from August 3rd-7th, from 4pm-5pm.

Tuition and Discounts

5 hr/1 week: $35

REGISTRATION FORM

Student Name

*

First Name

Last Name

Date of Birth

*

(mm/dd/yyyy)

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Primary Guardian Name

*

First Name

Last Name

Guardian Name

First Name

Last Name

Email 1

*

Email 2

Primary Phone

*

Secondary Phone

Pick up Person's Phone

*

Emergency Contact

*

First Name

Last Name

Emergency Contact Phone

*

Experience

Please list any previous performing arts experiences/classes.

Conflicts

If you have any conflicts that you are aware of that will cause your student to miss any classes, please list them here.

Class you would like to register for:

*

Summer Playwrighting Workshop, August 3rd-7th from 4-5pm Daily

Parent/Guardian Agreements

Clicking "I agree" below indicated that the students' parent or guardian agrees with the statment.

Payment Procedures

*

Payment is required by July 13th.

I agree

Photo/Video Release

*

I give permission for PPH to take photos/videos of my child for the purposes of promoting PPHJR

I do NOT give permission for PPH to take photos/videos of my child to use for puposes of promoting PPHJR

Liability Release

*

I understand that performing arts and related activities may present a risk of injury to the participant. I further understand that the inherent risk of injury cannot be eliminated regardless of the care taken to avoid injury. I agree to assume that risk in order for child to participate in these activities. The undersigned acknowledges that the participant is in good health and does not have any history or a medical or physical condition that would place the participant at risk due to the participant's medical or physical condition. I do hereby release and forever discharge Parkway Playhouse, their predecessors and successors, employees, agents and assigns, and all other persons, corporations, and entities from all claims, expenses, attorney fees, and causes of action or suits of any kind or nature associated with the participant's involvement with the Parkway Playhouse by signing below, I acknowledge that I have given my approval and acknowledge my responsibilities for the above items for which I have clicked "I agree".

I agree

Convenience Fee: A $3.50 convenience fee will be added to your registration payment to help cover credit card fees.

Payment for the Summer Playwrighting Workshop

*

$38.50

Would you like to donate to the PPHJR scholarship fund?

$