SuperStars Acting and Storytelling 2026 Registration Form

SuperStars Acting & Storytelling

GRADES K-3 (5 - 9 years old)

10 Wednesdays running from February 4th - April 15th (no class on April 1st)
Time: 5:00 - 5:55pm

At the Severna Park Community Center

Stage Performance April 18th at 1:00pm at Zimmerman Hall, Woods Church

Regisration $240

This year's performance story will be...

The True Story of the 3 Little Pigs

Students will learn acting, clear speaking, storytelling and fun group drama games from acting instructor, Philip Kittiver. Students will perform each week based on a known book or fairy tale where kids will have an opportunity to speak in character and act out emotions from the story. The director aims to challenge all actors but with a "no pressure" environment to experience all angles of the acting craft.

Performer's Information

Performer's Name*

First NameLast Name

Nickname (optional)

Birth Date*

MonthDayYear

Grade

If in Kindergarten just put 1

Age*

Gender

FemaleMaleOther

T-shirt Size*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent/Guardian Information #1

Name #1*

First NameLast Name

E-mail #1*

Cell Number #1*

Area CodePhone Number

Home Number #1

Area CodePhone Number

Parent/Guardian Information #2

Name #2

First NameLast Name

E-mail #2

example@example.com

Cell Number #2

Area CodePhone Number

Home Number #2

Area CodePhone Number

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is your child prescribed an inhaler? If yes, please explain any instructions.

Is there anything else you would like us to know about your child?

Informed Consent and Acknowledgement

I understand and agree that in participating in any classes, programs, workshops, camps, events, or activities there is a possibility of physical illness, bodily injury, disability, paralysis, or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of Theater in the Park, LLC classes, programs, workshops, camps, events, or activities. I also exempt, release, and indemnify Theater in the Park, LLC, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by Theater in the Park, LLC. I further hereby voluntarily agree to waive my rights and that of my heirs and assign to hold Theater in the Park, LLC its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them.
This portion of the agreement shall be in effect from this day forward.
My child and/or I have read, understand and accept the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon the parties during the entire period of participation in the said program. I am signing this form of my own free will and I am not under duress to sign this form.
Without limitation, or obligation, any and all media, including photographs, film footage, or tape recordings, which may include my or my child's image or voice for purposes of art, advertising, education, or promotion, or for any other purpose consistent with the Mission, and release from any claim or liability to that use. The images become the exclusive property. I waive all rights to inspect it/or approve any text that may be used in conjunction with the media and the use to which it may be applied.

NOTE: All fees for this workshop are non-refundable. If a student is unable to attend the workshop and notice is given one month prior to start date, 75% of the workshop fee can be used toward future Theater in the Park workshops. After that date, the registration and tuition fee for the assigned workshop will be forfeited as the tuition fees are used to fund the staff, materials and space as projected for the workshop. If "in person" classes have to be postponed due to the pandemic, classes and instruction will continue virtually and tuition will remain the same with no possibility of reimbursement.

Your signature at the end of the form validates your understanding and acceptance of the information above.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Sign Here in recognition of the information provided in this form.*

Workshop Fee*

SuperStars Acting and Storytelling Grades K-3$240.00

Wednesday nights from 5:00 - 5:55pm.

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

SuperStars Acting and Storytelling Registration

Payment Methods