Instrumental House Senior 2025-2026

Instrumental House Senior

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

Verify Student is age 14 by September 1, 2025.Verify Student is in grade 9, 10, 11, or 12.
Please verify the following. *
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
Experience
Current Instrument(s)*
please indicate N/A, if none.
If none, please indicate instrument of interest.*
Years of Experience*
Area(s) of Interest*

Worship Collective
Are you interested in renting an instrument (monthly fees apply)?*

YesNo
Are you interested in more information about individual instrumental lessons in addition to scheduled rehearsals (fees apply)?*

YesNo
Membership Rules
Membership is available to homeschoolers in grades 6th 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 Choir 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
Email*
example@example.com
My Products*
prevnext( X )
SR Instrumental House Materials Non-Refundable$50.00

Quantity

Total $0.00
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Payment Methods

Debit or Credit Card

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Instrumental House Senior

Experience

Membership Rules

Medical Waiver