Who We Are
Starlings Early Drop Off & Extended Day
PIP (Playwrights in Process)
Expanding our World
Register for Afterschool
Spring: The Diary of Anne Frank (12-14)
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Date of Birth
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District of Columbia
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Student Home Phone
Student Cell (if applicable)
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Parent/Guardian 2 (if applicable)
Parent/Guardian 2 Cell
Parent/Guardian 2 Additional Phone
Parent/Guardian 2 Email
Emergency Contact - Full Name
Provide a contact OTHER THAN the parent/guardian(s) already named.
Emergency Contact Phone
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.
I agree to Waiver
I will pay by the following method:
Credit Card (3.5% + .99 fee applies)
Electronic transfer (no fee)
I am interested in applying for financial aid
An application will be emailed to you with workshop confirmation.
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Piper Theatre | Register for Afterschool
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