Posted on August 7, 2022August 7, 2022Registration Piper Summer 2023 Registration 2023 Summer Student InformationStudent Name* First Last Please enter YOUR CHILD'S NAME as you wish it to appear in the playbill.Student Pronouns (optional) Select your child's preference from the dropdown menu.*Make your selectionStarlings: Imagination (July 17-21) Ages 7-9Starlings: Monsters (July 24-28) Ages 7-9Starlings Shakespeare: Prospero's Dream (July 5-14) Ages 8-10Starlings Shakespeare: Winter's Tale (July 17 - 28) Ages 10-12Starlings: Multi-SessionPTW Musical: Gorbal Woods (July 17-29) Ages 11-14PTW Play: Clue ( July 10-29) Ages 12-15Musical: Mean Girls ( July 5-29) Ages 12-16Musical: Newsies ( July 5-29) Ages 12-16Musical: No PreferenceWhile preferences for workshops are considered, placement in a particular company is NOT guaranteed. STARLINGS ONLY: If you select multiple workshops, you will receive a follow-up email to select the specific combination.Date of Birth* MM slash DD slash YYYY Grade as of Fall 2023* School as of Fall 2023* 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)T-Shirt Size*Select size from dropdown menuYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIn accordance with New York State Department of Health’s recommendations, we require that all families submit proof of MMR (Measles Mumps Rubella) vaccination. In addition, all participating children will need to show proof of COVID vaccination.* Select All My child has been vaccinated against MMR (REQUIRED) My child has been vaccinated against COVID-19 (REQUIRED) Email proof of vaccinatios to info@pipertheatre.org or mail to Piper Theatre Productions, PO Box 150613, Brooklyn, NY 11215. Waivers of Liability as related to Covid-19 will be sent to families electronically for review and signature.My child has the following activity or medical restrictions. Please elaborate so that we may better meet your child's needs.Behavior 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. 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. All participants are expected to show respect for lead teachers, teaching assistants, fellow students, staff, guests and facilities. Disruptive or dangerous behaviors and physical aggression are not acceptable. Our teaching artists are professionals who use sound, positive management tools within their classes. If any participant does not respond to these measures, the participant will be escorted to the office for a time out. If the problem behavior persists, we will communicate with the parents or guardians and the participant may be removed from the program with no refund of program fees. I have read and agree to the Behavior Policy 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/Guardian Email* Enter Email Confirm Email Parent/Guardian Cell Phone*Parent/Guardian Additional Phone (if applicable)Parent/Guardian 2 (if applicable) First Last Parent/Guardian 2 Email (if applicable) Enter Email Confirm Email Parent/Guardian 2 Cell (if applicable)Parent/Guardian 2 Additional Phone (if applicable)Additional ContactPlease include a contact OTHER THAN family members already listed. Do not include Parents already listed above.Emergency Contact Name* First Last Emergency Contact Best Phone*Emergency Contact Relationship to Student* Please tell us how you learned of Piper's summer programs (optional)PermissionsRelease 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 My child has permission to attend any and all program field trips* Yes No You will be notified in advance of any field trips.My child has permission to leave independently after the program each day* Yes No Early Drop-Off (8-9am) and/or Aftercare (4:00-6:00 pm) I am interested. Registration for Early Drop-Off and Aftercare may be available on a weekly basis subject to community interest.Payment InformationA nonrefundable deposit is due upon registration. Full payment is due by May 15. Deposit is waived for financial aid applicants, pending awards.I will make payment by the following method:*CheckElectronic transfer (no fee)Credit Card (3.5% + .99 fee applies)CashSelect payment method from the dropdown menu.I'd like to apply for financial aid. Yes An application will be emailed to you separately. The DEADLINE for applications is April 15, Please submit as early as possible. Deposit is waived pending announcement of financial aid awards.NameThis field is for validation purposes and should be left unchanged.
Posted on August 7, 2022August 7, 2022Piper Afterschool Registration Registration - Piper Afterschool (2022-2023) Student InformationSelect Workshop* STARLINGS Fall 2022: The Good Monster (Ages 8 - 10) PTW Fall 2022: Nana Grooda (Ages 10-12) WAITLIST PTW Spring 2023: Jo's Play (Ages 11-13) STARLINGS: Program will incorporate acting, original storytelling, process drama, and ensemble building. This program is designed for children who are interested in exploring imaginative play and performance. Ten Sessions / 3:45pm - 5:15pm / $350 FALL: Fridays, September 16 – November 18 (No Class November 11th);*Final Share: Saturday, November 19th PTW: Fun, games, and a one act production at the Old Stone House. Ten Sessions / 3:30pm - 5:15pm / $375 / FALL: Tuesdays, September 13 - November 22 (No Class September 27th) SPRING: Tuesdays, March 7 - May 16 (No Class April 9th); Student Name* First Last Student Pronouns (optional) Student Date of Birth* MM slash DD slash YYYY Student Current Grade* Student Current School* Student 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)In accordance with New York State Department of Health’s recommendations, we require that all families submit proof of MMR (Measles Mumps Rubella) vaccination. Regarding Covid-19, Piper will consider all guidelines from the Centers for Disease Control and Prevention. Proof of Covid-19 vaccination is required to attend Piper programs* My child has been vaccinated against MMR & Covid-19Email proof of MMR & Covid-19 vaccinations to info@pipertheatre.org or mail to Piper Theatre Productions, PO Box 150613, Brooklyn, NY 11215. Waivers of Liability as related to Covid-19 will be sent to families electronically for review and signature.My child has the following activity or medical restrictions. Please elaborate so that we may better meet your child's needs.Behavior Policy* I have read and agree to the behavior policy below.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. 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. All participants are expected to show respect for lead teachers, teaching assistants, fellow students, staff, guests and facilities. Disruptive or dangerous behaviors and physical aggression are not acceptable. Our teaching artists are professionals who use sound, positive management tools within their classes. If any participant does not respond to these measures, the participant will be escorted to the office for a time out. If the problem behavior persists, we will communicate with the parents or guardians and the participant may be removed from the program with no refund of program fees.Parent/Guardian InformationParent/Guardian Name* First Last Parent/Guardian Email* Enter Email Confirm Email Parent/Guardian Cell Phone*Parent/Guardian Additional Phone (if applicable)Parent/Guardian 2 (if applicable) First Last Parent/Guardian 2 Cell (if applicable)Parent/Guardian 2 Additional Phone (if applicable)Parent/Guardian 2 Email (if applicable) Enter Email Confirm Email Emergency Contact Full Name* Provide a contact OTHER THAN the parent/guardian(s) already named.Emergency Contact Phone*Emergency Contact Relationship to Student* Provide a contact OTHER THAN the parent/guardian(s) already named.Please tell us how you learned of this programPermissionsRelease 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 Payment InformationI will pay by the following method:* Check Credit Card (3.5% + .99 fee applies) Electronic transfer (no fee) Cash I am interested in applying for financial aid Yes An application will be emailed to you with workshop confirmation.NameThis field is for validation purposes and should be left unchanged.
