Summer Theater Workshop 2021: Devised Theater
July 12- July 23 • Monday-Friday • 9:00-12:00 p.m.
Please complete a new form for each child.
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Note that registration is not complete until your payment is received.
Mail tuition check ($250) to Foote Summer Program, 50 Loomis Place, New Haven, CT 06511
Applicant's Name *
Applicant's date of birth *
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Grade applicant is entering in September *
Parent/Guardian's Name *
Home Phone Number *
Parent/Guardian's Cell Phone Number *
Parent/Guardian's Email Address *
Street Address *
City *
State *
Zip *
Emergency Contact Name *
Emergency Contact's Phone Number *
Does your child have any medical concerns? If yes please explain. *
I give permission for my images of my child to be used for photo galleries and promotional materials generated by The Foote School. *
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