Bartlett Performing Arts and Conference Center 3663 Appling Road Bartlett, TN 38133 (901) 385-6440 2015-2016 THEATREKIDS REGISTRATION FORM “An Evening with Edgar Allan Poe” Registration is open for our TheatreKids series designed for students in grades 7-12 that culminates in four full scale productions. All participants will be included in the production, but individual parts will be cast via auditions. Not only will students be able to challenge their acting abilities, but for the first time ever, students will also learn the technical aspects of theatre including set, light and sound design! This year’s production is a wonderfully creepy adaptation of An Evening with Edgar Allan Poe where we will share a collection of his most famous short stories including The Tell-Tale Heart, The Oblong Box, The Purloined Letter, The System of Dr. Tarr and Prof. Fether and The Fall of the House of Usher. Performances — Thursday-Saturday, March 17-19 —7:00pm & Sunday March 20, 2016—2:30pm 8 week rehearsal period begins early January Registration Deadline: December 14, 2015 $100 Registration Fee/per participant* *includes $50.00 non-refundable deposit Balance Due December 31, 2015 Detach and return bottom portion with full registration fee -------------------------------------------------------------------------------------------------------------------------------------------------------- REGISTER TODAY---SPACE IS LIMITED Participant’s Name __________________________________ School Attending ____________________________ Participant’s Email (Print)_____________________________________________ Age ______ Grade _______ Allergies/Special Needs _________________________________________________________________________ Parent’s Name _________________________________ Email (Print) ____________________________________ Parent’s Cell 1 ____________________ Parent’s Cell 2 ____________________ Home ______________________ Address ______________________________________________________________________________________ Emergency Contact (other than Self) _______________________________________________________________ Relationship to Emergency Contact ____________________________ Phone ____________________________ Signature______________________________________________________________________________________ Office Use Only: Date _____________ Amount Paid ___________ CC CS CK Office Use Only: Date _____________ Amount Paid ___________ CC CS CK
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