March Master Classes Form

Master Class Registration Form

If you are registering for multiple people, please fill out this form separately for each person you wish to register.
Use this form to register for any of the following classes:

1. 42nd Street Preview Tap Class - Sunday, March 22, 2:00-4:00 PM
2. Matilda & Peter Pan Preview Master Class - Monday, March 30, 4:00-5:30 PM
3. Hamilton Master Class - Monday, March 30, 6:00-7:30 PM
Parent/Guardian Information
Parent/Guardian First Name *
Parent/Guardian Last Name *
Full Name
Parent Email *
example@example.com
Parent Phone Number *

Area Code Phone Number
Student Information
Is student new to Break a Leg Theater Works?

Yes No
Student First Name *
Student Last Name *
Student Email (if applicable)
example@example.com
Student Age
Student Grade
Student's School
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Any food allergies or medical conditions of which we should be aware?
Emergency Contact
Same as Parent/Guardian information above?
Name
Phone Number

Area Code Phone Number
Email
example@example.com
Class Selection

Please select your preferences below.

If you register for multiple classes, you'll get 25% off each additional class.
How many classes are you registering for? *
Which class are you registering for?

42nd Street Preview Tap Class (Sunday, March 22) Matilda & Peter Pan Preview Master Class (Monday, March 30) Hamilton Master Class (Monday, March 30)
Which classes would you like to take? (check all that apply)

42nd Street Preview Tap Class (Sunday, March 22) Matilda & Peter Pan Preview Master Class (Monday, March 30) Hamilton Master Class (Monday, March 30)
Cost
Total

prev next ( X )
USD Once payment is processed, this form will submit.

loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Master Class Registration Form