Summer 2025 Youth Program Enrollment Form

Thank you for your interest! At this time our mini-session production of Finding Nemo KIDS has reached enrollment capacity. You may sign up here for our WAIT LIST and we will contact you if space becomes available. We apologize for any disappointment this might cause.

Registration for our full-session production of Freaky Friday one-act edition remains open at this time. To register, please complete the information below.

Student Name*

First NameLast Name

Student Pronouns

Date of Birth*

MonthDayYear

Grade in School as of September 2025*

Name of School *

Parent Email for program communication*

example@example.com

Student Email for program communication (if none, please specify) *

Parent Phone Number*

Area CodePhone Number

Student Race

Student Ethnicity

Hispanic/LatinoNot Hispanic/Latino

Are there any learning, behavioral, or medical challenges we should be aware of in order to maximize your student's success? Please specify as needed.

Adult T-shirt Size

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent Phone Number*

Area CodePhone Number

Parent/Guardian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

E-mail

example@example.com

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship to Student*

My student and I have reviewed and agree to abide by BLP's...*

Cast contract

My student and I have reviewed and agree to abide by BLP's...*

Bullying/Harassment policy

My student and I have reviewed and agree to abide by BLP's...*

Photo/Video policy

Our full session (Freaky Friday one-act edition) will run from July 7th-24th, with 3 performances on July 25th and 26th, and strike on July 27th.

Full program calendars, including dates and times for tech rehearsals, will be shared ahead of the start of programming and are available on our website.

This year's Summer Youth Program tuition will be $750 for the full session.

If you would like to apply for a scholarship, please reach out to info@brokenlegproductions.com. BLP strongly believes that educational theater programming should be available to all students, regardless of their ability to pay.

You may complete registration in one of the following ways:

1) Pay your tuition in full via credit card now.

2) Pay a $100 deposit now and contact BLP about payment plan options.

3) Pay $100 now and the balance before auditions.

4) Pay a $100 deposit now and apply for a scholarship.

Broken Leg Productions reserves the right to cancel programming in the event that minimum participation has not been met. In the event that programming is canceled, you will be refunded 100% of tuition (including your deposit).

Refund Policy

If you decide you would no longer like to participate in BLP's summer programming after registering, you will forfeit your deposit. Your remaining tuition (minus deposit) will be refundable until the audition date in the event that you need to withdraw from programming. No refunds will be issued after the audition process has been completed.

Please choose your programming*

Youth Full Session (Freaky Friday one-act edition) $750

Indicate your choice for payment:*

Pay your tuition in full via credit card now.Pay a $100 deposit now and contact BLP about payment plan options.Pay a $100 deposit now and the balance before auditions.Pay a $100 deposit now and apply for a scholarship.

Amount Paid Now

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

At BLP we strive to help families in need access our theatrical programming. If you are able, please head to our donation page to support our scholarship program and help to sponsor a student who might otherwise not be able to participate.

Youth Program Summer 2025 Enrollment

STUDENT INFORMATION

PARENT/GUARDIAN INFORMATION

PARENT/GUARDIAN 2 INFORMATION

Emergency Contact

Attestations

Program Information