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Summer Theatre Intensive

Registration

Student First Name

Student Email

Student Last Name

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Street Address

Street Address Line 2

City

State

Postal / Zip code

Parent/Guardian Phone Number

Student Age

Upcoming Grade

Level of Performing Arts Experience *

Beginner

More than 5 years

More than 10 years

Please use the space provided to share some details about your child that might help us create the best experience for them this summer.

Add Student ID if West Orange Resident

Upload File

Upload File

Upload supported file (Max 15MB)

How did you hear about the program?

All Contents© 2022 by Pleasant Valley Productions

For more information or any questions about our company, please email us at contact@PleasantValleyProductions.org

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