Broadway Bound Registration

Broadway Bound! camps are providing young people the opportunity to participate in a theatrical experience which will develop confidence, responsibility and teamwork. Participants in all of our classes build self-esteem as they refine their creativity, active listening, and concentration skills.

Broadway Bound! teaching artists are theatre professionals – actors, designers and directors – who teach under the leadership of Lauren Sobon, Dutch Apple Artistic Producer.

Broadway Bound Registration Form

General Information
Student Name*
Age*
Grade Completed
Please enter a number from 0 to 12.
Address
Street Address City State / Province / Region ZIP / Postal Code
Parent's Name*
Home Phone*
Daytime Phone
Parents Email Address*
Medical Information
Emergency Contact #1 Name
Emergency Contact #1 Relationship
Emergency Contact #1 Phone
Emergency Contact #2 Name*
Emergency Contact #2 Relationship*
Emergency Contact #2 Phone*
Medical Conditions*
Please list any conditions the staff should know about (allergies, disabilities, injuries..etc)
Child's Family Physician & Phone Number*
Preferred Hospital*
Previous Experience
Years in Dance
Years in Voice
Performances
Role #1
Year
Where
Role #2
Year
Where
Role #3
Year
Where
Workshops
Summer Workshops 2021*
- Pre-Beginner Session
- Beginner Sessions
- Intermediate Session
- Advanced Performance Session - The Descendants Jr.
T-Shirt Size
(For Summer Workshops Only)
Child
- S
- M
- L
Adult
- S
- M
- L
- XL
I agree*
Total
$0.00