Applied Improv Workshop at Santa Paula Theater Center

BRITE Improv Workshops – Registration Form

FREE Improv Theater Workshops. Mondays at 4:00 PM, Nov 3 – Dec 1, with a final performance on Dec 8 at the Santa Paula Theater Center.
Participant Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Contact Email*
example@example.com
Phone Number*
Emergency Contacts*
Participant Information
Birthdate*

MonthDayYear
Date
Grade*
School Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Information
Do you need transportation support?

YesNo
I am a Parent/Guardiant and I would be interested in volunteering to help during workshops or the performance?

Yes, please contact me with detailsNot at this time
Any medical conditions, allergies, or other health information to be aware of?
Anything else you’d like us to know?
Acknowledgment

I am the parent/guardian of the student registering above. I confirm that the information provided is accurate, and I give permission for my child to be photographed or recorded during workshops and performances for BRITE program use.
Participant Signature *

Clear
Parent of Participant Signature*

Clear
All personal information shared on this form will be kept private and used only for program participation and safety purposes.

Please contact info@briteyouth.org with any questions or concerns.
Should be Empty:

BRITE Improv Workshops – Registration Form