White Heron Student Company Summer Intensive Registration Form

White Heron Student Company Summer Intensive Registration Form
About this intensive:

Dates: July 8 - July 26
Time: 9:00 AM - 12:00 PM MWF

In this revamped summer intensive, students will create a short play with music, working on playwrighting, audition technique, collaboration, and more! This program runs from July 8 - July 26 from 9am-12pm on Mondays, Wednesdays, and Fridays.
Summer Intensive Registration Fee
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Summer Intensive Ticket
$900.00 Quantity

Total

$0.00
Student Name

First NameLast Name
Parent Name

First NameLast Name
Student Age
Gender

MaleFemale
Student Phone Number
Parent Phone Number
Student Email
example@example.com
Parent Email
example@example.com
Name of Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Emergency Contact Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you want to register more people?
Where did you hear about us?

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Payment Method

Credit Card
NOTE: Please be aware that registration is NON REFUNDABLE.

Please visit this LINK to pay!
Anything we need to know? (allergies, modifications, etc.)
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