Young Theatricals Registration – Juniors Student

Student full name *

Student date of birth *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Student email address

Student contact number

Parent or guardian name *

Parent or guardian contact number *

Parent or guardian email address *

What topics are you most interested in learning about? Pick as many as you like! *AccentsScriptwritingHow to auditionCostumingDirectingLighting and soundCharacterisationHow to perform comedyHow to perform drama

What would you like to gain confidence in or explore? *

Do you consent to photos and/or videos of in class activities which include your child, being used for Social Media or Promotional purposes? *YesNo

I (the student) will be making my own way to classes. *YesNoIf you select yes, we will send you a Duty of Care form for your parent/guardian to complete.

Is there anything else you would like us to know? i.e. dietary requirements, medical considerations etc.

How would you like to pay registration fees? *I would like to pay the full $235 nowI would like to pay Term 1 fees of $85 nowFees for the full year are $235 – this includes the full years tuition as well as their membership to Ipswich Little Theatre. This can be paid in full or $85 for Term 1 and $50 per term for the remaining 3 terms. Fees are due by the first day of class each term.

Payment Details *

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© Ipswich Little Theatre Society Inc.

ACKNOWLEDGEMENT OF COUNTRY
ILT acknowledges the Traditional Custodians, the Jagera, Yuggera, and Ugarapul people, where we work and present stories. We would like to pay respect to the Elders, past and present and to all First Nations people.