Summer Enrichment 2020, ONLINE! Registration 2020 Online Parent Email* Enter Email Confirm Email Student InformationSTUDENT NAME* First Last Please enter YOUR CHILD'S NAME as you wish it to appear in print.Select your child's preference from the dropdown menu*Make your selectionImagination Station (7/13-24) Ages 8-9Starlings A Winter's Tale (7/6-17) Ages 9-11Starlings A Midsummer Night's Dream (7/20-31) Ages 9-11Starlings Both Sessions (7/6-31)Blaze Beckett! (7/13-24) Ages 11-14Iphone Films Session 1 (7/6-17) Ages 11-13Iphone Films Session 2 (7/20-31) Ages 13-15Lucky Girl Session 1 (7/6-17) Ages 11-15Musical Billy Ragamatag Session 2 (7/27-8/7) Ages 12-16Billy Ragamatag Session 1 and Lucky Girl Session 2 are full. Date of Birth* Date Format: MM slash DD slash YYYY Grade as of Fall 2020*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.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. 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 Cell Phone*Additional Phone (if applicable)Parent/Guardian 2 (if applicable) First Last Parent/Guardian 2 CellParent/Guardian 2 Additional Phone (if applicable)Parent/Guardian 2 Email Enter Email Confirm Email 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 EmailThis field is for validation purposes and should be left unchanged.