Student Interest Form

Student Interest Form

Stage Local Educational Programming - Fall 2025
Please note that this is an interest form and does not guarantee participatiton in the program. Exact classes, times and open enrollment will take place in June 2025.
Student Name

First NameLast Name
Parent Name

First NameLast Name
Student Age
Grade Level
Parent Email
example@example.com
Phone Number
Please enter a valid phone number.
Area(s) of Interest:

Please select all programming you are interested in for FALL 2025. Classes will run August - December.
Homeschool Enrichment Programming (During the school day):

Theatre - General (7-12th grade)Theatre - General (K -3rd grade)Theatre - General (4th - 6th grade)
Pre K Programming:

Daytime (Before 3 PM)After-School (After 3 PM)
After-School Programming (Topics TBA):

K - 4th Grade Class5th - 8th Grade ClassHigh School ProgrammingTriple Threat Intensive - DanceTriple Threat Intensive - VoiceTriple Threat Intensive - Acting
Additional interests- What programming would you like to see from Stage Local Lebanon?
Should be Empty:

Area(s) of Interest: