2021 Virtual High School Theatre Workshop Day Registration

2021 VIRTUAL High School Theatre Workshop Day

SATURDAY, JANUARY 23RD, 2021
PLEASE READ THE FOLLOWING INFORMATION CAREFULLY.

HSTWD will be held entirely on ZOOM!

Please be ready to register with a non-school email and to verify you have access to a reliable internet connection.

Information about this event can be found in the Student Information Packet linked to this form.

STUDENT INFORMATION PACKET

If you have further questions, please email BTE's Education Director at aleffler@bte.org

BTE will not be held responsible should an attendee have internet or ZOOM account issues the day of the event. Please double check all updates for these the day before the event to circumvent any potential issues.
STUDENT REGISTRATION FORM

Please make sure all information provided is accurate and up to date.
Student Name (Please make sure this matches your ZOOM account name) *

First Name Last Name
School *
Graduation Year *
Birth Date *

Month Day Year
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Student E-mail (NON-SCHOOL EMAIL) *
Please use a non-school email due to school firewall restrictions
Mobile Number *
Teacher's Name (if registering with a school)
Teacher's Email (if registering with a school)
example@example.com
Parent/Guardian Name *

First Name Last Name
Parent/Guardian Email *
example@example.com
Please confirm you have access to reliable internet, a Zoom account, and reliable device to participate in the event. *

I have all three.
I, First Name* Last Name* give Bloomsburg Theatre Ensemble permission to use images and my likeness in any promotional materials in the future, as well as, share any pertinent information with a secondary source for university recruitment. By signing, I confirm this permission. Signature*

ZOOM Session 1 (10-10:45am EST) *
ZOOM Session 2 (11-11:45am EST) *
ZOOM Session 3 (12-12:45pm EST) *

HSTWD Payment *

Registration Fee HSTWD 2021 Payment

$ 20.00

Enter coupon

Total

$ 0.00

Your registration is not complete until you pay and recieve a confirmation e-mail.

If you have a comp code, you still have to hit 'Pay with PayPal" before you hit the submit button. You will not be charged should you have an accurate code.

When you hit submit you will be directed to a PayPal payment page. You do not have to have a PayPal account to pay. There is a link to "PAY WITH DEBIT OR CREDIT CARD" under the PayPal Login.

Refund Policy: Refunds can be requested up to one week before the event. They will be issued less a $1 processing fee. No refunds will be processed after January 16th, 2021.

Pay with PayPal

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

2021 VIRTUAL High School Theatre Workshop Day

STUDENT REGISTRATION FORM