Yes, I'd like to participate in 2026-27 Learn2Shine [L2S] sessions
Please complete form below FOR EACH PARTICIPANT
Partiicipant's Name
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First Name
Last Name
Participant's age:
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Please Select
7
8
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12
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15
16-20
21-59
60+
Has this participant had any experience saying lines, singing, and/or dancing? If yes, how much?
Participant's (primary) address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/guardian's name (for minors):
First Name
Last Name
Parent/guardian email
example@example.com
Parent/guardian phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Please share any allergies, medications, physical or emotional circumstances, learning differences or other factors which may have an impact on this participant's experience with L2S programs:
Photo/Media Release: L2S uses photos and videos of sessions on our website, social media, and promotional materials.
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I consent
I do not consent
Emergency contact name:
*
First Name
Last Name
Emergency contact's relationship to participant:
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i.e. aunt, brother, grandparent, family friend
Emergency contact's phone#:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional comments or notes:
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