Director's Workshop Registration Form
Saturday, June 21, 2025 | 9 a.m. - 2 p.m.
Partcipant Info
Name
*
First Name
Last Name
E-mail
*
example@example.com
Primary Phone
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Have you directed at STAAR Theatre before?
Yes
Total
Add an additional participant?
Add Participant 2
Partcipant 2 Info
Participant 2 Name
*
First Name
Last Name
Partcipant 2 E-mail
*
example@example.com
Participant 2 Cell Phone
Format: (000) 000-0000.
Have you directed at STAAR Theatre before?
Yes
2 Total
Notes:
Terms and Conditions
Today's Date
/
Month
/
Day
Year
Date
By agreeing below and submitting this form, you, the Participant or Parent or Guardian of the above student(s), agree to release STAAR, including instructors and assistants, from liability for any and all injuries which may occur while rehearsing, practicing, performing, or during any STAAR event or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of you or your student(s) at your expense should the need arise.
I agree
Photo Release: By participating in a STAAR event, I understand that STAAR has the right to photograph me/my child and use the photo and/or other digital reproduction of my/their physical likeness for advertising and/or publication processes, whether electronic, print, digital or electronic publishing via the Internet.
*
I understand
Totals
Total Tuition
Cash/Check Price
Card Price
Payment is required to secure a place in each class. Class sizes limited. You may bring cash or checks to 103 N. First Street, Pulaski between 9 a.m. and 5 p.m. Monday-Friday.
I will pay via cash or check and understand my spot is not secure until payment is received.
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