Questions? email education [at] stagewest.org or call (817) 784-9378. Return to the Summer Program page Student’s Name * Gender * Age * Street Address * City * Zip Code * Parent/Guardian’s Name * Parent/Guardian’s Email * Home Phone * Cell Phone Emergency Contact & Phone number (if parent/guardian unavailable) * Person authorized to pick up student(s) - #1 Person authorized to pick up student(s) - #2 Special needs we should be aware of Courses NOTE: There is a Summer Registration Fee of $50 in addition to course tuition. Select your Class or Workshop * Stage West Summer Theatre Conservatory - Ages 14-22 (July 10-28) $550 Law and Order: Fairy Tale Unit, (June 5-16) 10am-1pm $300 Poetry, Performance and Change, (June 12-16) 1pm-4pm $150 Play Creation: Fantastic Beasts and Where to Find Them! (June 19-June 23) 1pm-4pm $200 Summer Improv Troupe, (June 10-30) 1pm-4pm $300 Broadway Musical Review, (June 26-30) 10am-12pm $150 Shirt Size * Small Medium Large How did you hear about our classes? Policies Please be prompt in dropping off and picking up your students. Stage West does not assume responsibility for any child dropped off unattended. Please do not drop off your child(ren) more than 10 minutes before class begins unless prior arrangements have been made. Please contact us at 817-754-0231 if you will be delayed in picking up your child due to an emergency, such as car trouble. Parents may stay in the theater to observe the class during the first class but will be asked to remain outside during subsequent classes. Students will be asked to not chew gum during class. Registration fees and Tuition are not refundable. By participating in the Stage West Children's Classes I do hereby grant permission for Stage West to use the image of my child for promotional purposes. Such use includes the display, distribution, publication, transmission, or other use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Stage West Web site. Required * I have read and will abide by the above policies. I am aware of the nature and content of the program and assume the risks associated with my child’s participation. I agree not to allege or impose any liability on Stage West in the event of any damage, injury or loss resulting from such participation.