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Afterschool 2020
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Your Email
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Student Information
Select One or More Workshops
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Winter: Radium Girls (11-14)
Spring: Pippi Longstocking (9-12)
Spring: The Diary of Anne Frank (12-14)
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Parent/Guardian Information
Parent/Guardian Name
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Emergency Contact - Full Name
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Provide a contact OTHER THAN the parent/guardian(s) already named.
Emergency Contact Phone
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Permissions
Release and Waiver of Liability: While participating in activities at Piper, each student is assumed to be voluntarily performing activities for which he/she assumes all risk, consequences and potential liability. I hereby release and hold harmless Piper Theatre Productions and the Old Stone House of Brooklyn and its agent or agents from any and all claims arising or resulting directly or indirectly from participation in Piper Theatre activities. I authorize Piper Theatre Productions to take necessary action in case of emergency if I am unable to be reached. In addition, I authorize Piper Theatre Productions and the Old Stone House to use photographs and/or recorded video in which my child appears in promotional literature, ads, displays or any format representing the program.
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I agree to Waiver
Payment Information
I will pay by the following method:
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Check
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I am interested in applying for financial aid
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An application will be emailed to you with workshop confirmation.
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Piper Theatre | Register for Afterschool
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