Winter Workshops 2025

Health History and Emergency Information

Please share anything pertinent.
Please provide us with an Emergency Contact that is NOT the listed Parent/Guardian
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Serious injuries, operations, disabilities, chronic recurring illnesses that we need to know about:
Health History (check all the apply)

Heart defectSeizuresHyptertensionDiabetesBleeding DisorderOther
Are immunizations up to date?*

YesNo
How did you find us?*

Register for Class

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Destination Devising (9-12 y/o)
Destination Devising (13-18 y/o)
Puppet Theatre (5-8 y/o)
Puppet Theatre (9-12 y/o)
Theatre Games (5-8 y/o)
Theatre Games (9-12 y/o)
Movement and Song (5-8y/o)
Movement and Song (9-12 y/o)
Monologue Work (9-12 y/o)
Monologue Work (13-18 y/o)
Stage Makeup: Special Effects (12+)
Stage Makeup: Gore (12+)
Subtotal:
Coupon Code:
Coupon Discount
Total:

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USDWinter Workshops 2025
Refund Policy: We will accept requests for refunds up to one week before the start of a class and will be issued less a PayPal processing fee. If we cancel a class, refunds will be issued in full or balances can be applied to future classes.
Upon submitting, you will be directed to PayPal to complete registration.

If you prefer to pay with credit/debit card, please select that option at the bottom of the page under the PayPal Log In option. Your registration is not complete until payment is processed. Please e-mail Education Abigail Leffler at aleffler@bte.org with any questions.
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