EmailMeForm
Musical Youth Summer Theatre (2023)
Complete a separate registration for each child/youth
Rehearsal Dates:
July 3-21, 2023
Monday–Friday 9:00 am to 3:00 pm
The Nexus at First United Church
5th Street SE at Okanagan Ave
Performances of
Matilda Jr.
:
Note: The Role of Matilda will be double cast so that each actor appears in two performances.
Friday, July 21 at 6:00 pm
Saturday July 22 at 1:30 and 6:00 pm
Sunday, July 23 at 1:30 pm
at Shuswap Theatre, 41 Hudson Ave NW
Cost:
Early Bird Rate to May 31 – $575
After June 1st – $625
Registration is not final until payment has been received
and
you have received confirmation by email from the instructors.
If the event (or your child's section) is already full, payment will be disabled, you will receive notice from the leaders and your child will be waitlisted. If you have already paid and a spot does not become available, you will receive a full refund.
Note: As of May 18, two slots have opened up. Juniors may apply but preference will be given to seniors.
Name of Participant
*
First
Last
Date of Birth
*
MM
/
DD
/
YYYY
Age Category
*
Junior (ages 8–12)
Senior (ages 13-16)
Name of Parent
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Parent Contact Phone
*
###
-
###
-
####
Parent Email
*
Additional emergency contact, if any, including name, phone number and relationship.
Health/Medical Information
Personal Health Number
*
Please list any allergies (including drug allergies) or other health concerns your child may have.
*
Write "not applicable" if none.
Please list any previous experience your child has with drama, dance, drama vocals, parkour, etc.
Is there anything else the instructors should know about your child?
I hereby give my consent to having my child photographed, including by video, as part of his/her participation and performance in this program.
*
I consent
Please note that a more detailed waiver will be sent to you prior to the event for signature.
There are limited funds available to help families for whom the fee is financially difficult.
I would like to apply for a scholarship for my child
Please explain briefly
why you want
to do this program.
Is financial assistance
necessary
for your child to participate?
Total
$625.00