Student's Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Student Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Cell Phone

(###)

###

####

Class Selection *

Check as many programs as you would like to enroll.

Acting for Adults Fall Semester beg. 9/9/23

Acting for Adults Spring Semester beg. 1/20/23

Race/Ethnicity *

Drama Studio is a 501(c)(3) non-profit organization that receives government funding. We are required to begin collecting general data on our students to provide our grantmakers with annual statistics. Your child's information is confidential and will be kept private. Please select the racial category with which your child most closely identifies.

Caucasian (White)

African American or Black

Native American or Alaska Native

Hispanic or Latino (of Spanish culture or origin)

Multi Racial

Other (Please specify in the "indicate any health concerns" box))

"I give permission to participate in digital Drama Studio classwork, communications and performances, including the use of online video platforms/chat." *

Yes, I grant permission

"I grant to the Drama Studio, its representatives and employees, the right to take theatrical photographs/videos of my child(ren). I authorize the Drama Studio to copyright, use and publish the same in print and/or electronically. I agree that the Drama Studio may use such photographs/videos of my child(ren) with or without name(s) and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content." *

Yes, I grant permission

No, I do not grant permission

How did you find out about the Drama Studio? *

Family and Friends

Online Search

Facebook

Instagram

Hilltown Families

Pioneer Valley Theatre

Lawn Sign

the Reminder

Other (Specified Below)