Posted on August 24, 2020August 24, 2020Piper Inside Online Enrichment – Fall 2020 Fall 2020 Registration Student InformationYour Student's Name* First Last Please enter your child's FULL NAME Select your child's preference from the dropdown menu*Make your selectionMystery of the Yarn Barn (Workshop 1: 10/20-11/19)Mystery of the Yarn Barn (Workshop 2: 11/20-12/16)HS Audition ClinicDate of Birth* Date Format: MM slash DD slash YYYY Grade as of Fall 2020*School as of Fall 2020*Home Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Home Phone*Student Cell (if applicable)My child has the following activity or medical restrictions. Please elaborate so that we may better meet your child's needs.Parent/Guardian InformationIt is important that we are able to contact you. Please be sure to include all relevant phone numbers.Parent/Guardian Name* First Last Parent Email* Enter Email Confirm Email Cell Phone*Additional Phone (if applicable)Parent/Guardian 2 (if applicable) First Last Parent/Guardian 2 Email Enter Email Confirm Email Parent/Guardian 2 CellEmergency ContactPlease include a contact OTHER THAN family members already listed.Emergency Contact Name* First Last Relationship to student*Emergency Contact Best Phone*Please tell us how you learned of Piper's programsPolicies and WaiversBehavior Policy*By participating in Piper Theatre’s Programs, you agree to the terms of the Behavior Policy. Piper is committed to ensuring that all participants who attend are provided an atmosphere in which they can learn together free from harassment or intimidation. Fun and safety are only possible when all participants agree to work collaboratively. All participants are expected to show respect for teachers, staff and fellow students. You and your child are advised to inform any member of the staff about any conduct that is offensive or is in contradiction to our commitment to a harassment-free environment. I have read and agree to the Behavior Policy 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 any digital, photograph, analog media in which my child and/or their likeness appears in promotional literature, ads, displays or any format representing the program. I agree to Waiver Payment InformationPayment is due upon registration.I will make payment by the following method:*Select from the dropdown menuCheckElectronic transfer (no fee)Credit Card (3.5% + .99 fee applies)CashI'd like to apply for financial aid.YesAn application will be emailed to you separately. Payment is waived pending award announcements.EmailThis field is for validation purposes and should be left unchanged.