Student Name
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First Name
Last Name
Student Date of Birth
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Student Email
Student Phone
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Contact Parent/Guardian Name
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First Name
Last Name
Contact Parent/Guardian Email
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Contact Parent/Guardian Phone
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I would like to register for the following weeks:
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(Check any that apply - weekly themes will be announced soon!)
WEEK 1: JUNE 30–JULY 3 Clown & Improv w. Leo Lion & Zoe Senese-Grossberg
WEEK 2: JULY 7-10 Shakespeare Studio (Midsummer) w. Leo Lion & Zoe Senese-Grossberg
WEEK 3: JULY 14-17 Devising From Myth & Folklore w. Leo Lion & Izzy Pflanz
WEEK 4: JULY 21-24 Movement Ensemble w. Leo Lion & Izzy Pflanz
WEEK 5: JULY 28-31 Shakespeare Studio (Macbeth) w. Izzy Pflanz & Benny Rendell
WEEK 6: AUG 4-7 Clown & Physical Theatre w. Izzy Pflanz & Benny Rendell
WEEK 7: AUG 11-14 Actor's Toolbox w. Zoe Senese-Grossberg & Benny Rendell
WEEK 8: AUG 18-21 Shakespeare Studio (Romeo and Juliet) w. Benny Rendell & Sophie Falvey
WEEK 9: AUG 25-28 Acting For the Cameraw. Benny Rendell & Sophie Falvey
I would like to sign up for:
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Individual Weeks: $400 per week
4-Week Discount Bundle: $1500 (for a $1600 value)
Full Summer Discount Bundle: $3200 (for a $3600 value)
Additional Notes/Info:
Registration Agreement
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By submitting this form, I confirm that: - I am either 18+ years of age, or registering for this program with a parent/guardian's approval. - I am able to attend the dates on the program schedule, and complete outside homework (if any). - I agree to follow program rules and policies provided by my instructor. - I will pay the class fee to finalize my registration.
I agree to these terms.
Health & Safety Agreement
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By submitting this form, I confirm that: - I agree to follow Firebird's health & safety protocols during my participation in the program. - I agree to wear a face mask (if requested) when attending in-person programs. - I agree to communicate with my instructors about potential health risks, and will not attend if sick.
I agree to these Health & Safety policies.
Photo/AV Waiver
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The Firebird Project reserves the right to use any and all photos and audio/video recordings taken by our invited photographers and videographers during rehearsals, performances, workshops, classes and social events on our webpages, in Internet and print publications about Firebird, in video clips and documentaries featuring Firebird, in national and regional competition-related materials, and in The Firebird Project’s other promotional materials. I hereby release The Firebird Project and its legal representatives from all claims and liability relating to said photographs and video recordings.
I agree to this photo/video waiver.