Script House Junior-Senior 2025-2026

Script House Junior-Senior Hybrid (4:50 pm - 5:40 pm)

Complete the form below to register for House Theatre participation.
Please verify the program and grade level you are registering for.
Please verify Student's age and grade level.*

Verify that Student is 11 by September 1, 2025.Verify that Student is in Grade 5, 6, 7, 8, 9 10, 11, or 12.
Name Student*

First NameLast Name
Name Parent 1*

First NameLast Name
Name Parent 2

First NameLast Name
Name Primary Caregiver if Applicable

First NameLast Name
Date of Birth*

MonthDayYear
Date
Grade Level*
E-mail*
example@example.com
Phone Number:*

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Rules
Membership is available to homeschoolers in grades 1st through 12th who have read, understood, and agree to demonstrate respect towards House Theatre's Code of Conduct and Statement of Faith.
Please Check The Following

I have read, understood, and agree to demonstrate respect towards House Theatre's Code of Conduct and Statement of Faith.
Medical Waiver

Applicants must complete a medical waiver to participate in Script House.
Emergency Contact Name 1*

First NameLast Name
Relation to Participant*
Phone Number*

Area CodePhone Number
Emergency Contact Name 2*

First NameLast Name
Relation to Participant*
Phone Number*

Area CodePhone Number
Insurance Card Information
Indicate medical history deemed necessary by the parent. The attached waiver is provided for transparency and clarification.
Are there any allergies we should be made aware of?
Date of Form Completion

MonthDayYear
Date
My Products*
prevnext( X )
JR-SR Script House Materials Non-Refundable$25.00

Quantity

Total $0.00
Please refrain from double-tapping the submission button. This may result in a double-charge.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Script House Junior-Senior Hybrid (4:50 pm - 5:40 pm)

Membership Rules

Medical Waiver