Participant's First and Last Name
Participant Age (must be over 18)
Parent/Guardian/Caregiver Names (if assisting participant in getting to and from rehearsal)
Email (This will be the primary form of communication used to distribute important information)
Secondary Email (For any parent/guardian involved)
Would you like your phone number to be added to a WhatsApp group message for updates on rehearsals?
If you are new to the program, how did you hear about this opportunity?
Are there any rehearsals or performance dates you will NOT be able to attend? Please note that conflicts with the performance weekend does NOT prevent a student from signing up with BCT!
Please check which form of payment you will be using for registration due before the first class on July 5. Refunds will only be issued if a cast participant withdraws from the program before July 1.
PayPal (button located at the bottom of form)
Check (Please mail to Brighter Connections Theatre, Inc. 1157 Greystone Circle, Dayton, OH 45414)
County Board of Developmental Disabilities Services: Family Support Services funds. Find more info at https://www.mcbdds.org/668/Overview
Expectations and procedures regarding COVID-19: All participants will abide by the COVID-19 policies and procedures set forth at the time by University of Dayton and Brighter Connections Theatre.
I agree to adhere to these protocols
If you have any questions or relevant information that would help BCT staff provide the best experience possible for you, including accommodations, please use the space below or email Katie at firstname.lastname@example.org
( X )
Adult Registration Fee
Debit or Credit Card
Credit Card Number
Please click one of the PayPal options to complete payment and
Should be Empty: