Parent's Name *

First Name

Last Name

Parent's Phone *

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Class Selection

Acting Fundamentals - June 10 - 14

Improv - June 17 - 21

Musical Theatre - June 24 - 28

Theatre Tech - July 8 - 12

Devise a Play in a Week - July 15 - 19

Student #1 Name *

First Name

Last Name

Student #2 Name

First Name

Last Name

Student #3 Name

First Name

Last Name

Student #4 Name

First Name

Last Name

Consent Form *

The Shane Lalani Center for the Arts takes photographs and video during some rehearsals and performances. We use these photos and videos for our website, publicity materials, grant applications, reports to granters and sponsors, and for archive. The Shane Lalani Center for the Arts has my permission to use, edit, and reuse photographs and videos of the student(s) named above to promote the Shane Center and its programs.

I Consent