Spring Workshop Registration Form

Spring Workshop Registration Form

The Shine MSD and Barclay Performing Arts Spring Drama and Musical Theatre workshop is FREE and will provide middle, high and college school students an opportunity to learn and participate in a range of creative exercises. Beginners and ALL welcome! No experience in drama or musical theatre neccessary.
DATES & TIMES

Wednesday, March 23rd, Thursday, March 24th, Friday, March 25th

9:00 AM - 2:00 PM Middle School Students

Light lunch & snacks will be provided

3:00 - 7:00 PM High School & College Students

Light dinner & snacks will be provided

Final Class & Rehearsal

Friday, March 25th, 8:00 PM

LOCATION

Barclay Performing Arts, 8903 Glades Road, Ste D8,

Boca Raton FL 33434
Participant Name*

First NameLast Name
Birth date*

MonthDayYear
Date
Check one or more options that reflect your gender*

FemaleMaleNon-binaryPrefer not to discloseOther
Are you in Middle or High School?*

MiddleHigh
Pronouns?
Ethnicity*

Hispanic or LatinoWhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact's Name*

First NameLast Name
Relationship*
Emergency Contact's Phone Number*
Please enter a valid phone number.
T-Shirt Size*

SmallMediumLargeX-Large
Are you a current or former Barclay student?*

YesNo
Do you have any prior experience in musical theatre or drama?
Do you have any allegeries, food restrictions, medical conditions or disabilities? If yes, please describe.*
Is there anything else you would like us to be aware of or take into consideration?
I agree to attend all dates as listed above including the performance on Friday, 03/25 Please list and explain any attendance conflicts with dates*
Type "Yes" if you agree
RELEASE STATEMENT:I understand that the SHINE MSD Tell Your Truth Musical Theatre Workshop is held at BARCLAY Performing Arts, and I agree to abide by all its policies. I give permission to use photographs & videos of my child or me for any and all promotional purposes. I understand that in case of emergency, if I am unable to be contacted, I give permission to the BARCLAY or the or the staff of our partner theatres to authorize any emergency action necessary. I/We as an individual or as a parent or guardian of the participants named herein, assume all risk and hazards incidental to the activities and release from responsibility and agree to indemnify and hold harmless BARCLAY PA, the Somerset Shoppes, their officers, directors, independent contractors, volunteers, on site theatre staff and all employees for any illness and injury to me or my children or family members occurring during his/her/our participation in any activities or use of any facilities at/or conducted by BARCLAY PA or its partnering theatres. Participants agree to the BARCLAY code of conduct and agree to abide by BARCLAY polices when corresponding with other company members and/or commenting about BARCLAY events, shows, staff members and other students, whether inside or outside of the studio or on social media or technological devices. Bullying or harassment of any form will result in a dismissal from the program. Signing this document means you have read and agree to the terms listed herein.*

I agree
This workshop is FREE. The cost of the workshop is $500 and will be provided as a scholarship by Shine MSD a 501 3 (C) a nonprofit organization. Donations are welcomed and appreciated with a link to our donation page on our website.

https://shinemsd.org/donate
Attendance is limited. Once your application is submitted Shine MSD will notify you with additional details.
Should be Empty: