Child's Name
*
First Name
Last Name
Child's Date of Birth
*
MM
DD
YYYY
Child's School
*
Child's Grade
*
Child's T-shirt Size
*
Class Day & Location Preference
*
Tuesdays at Methodist Church, Half Moon Bay
Wednesdays at Wilkinson School, EG
#1 Parent / Guardian's Name
*
First Name
Last Name
#1 Parent / Guardian's Phone
*
(###)
###
####
#1 Parent / Guardian's Email
*
#1 Parent / Guardian's Relationship to Child
*
#1 Parent / Guardian's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
#2 Parent / Guardian's Name
*
First Name
Last Name
#2 Parent / Guardian's Phone
*
(###)
###
####
#2 Parent / Guardian's Email
*
#2 Parent / Guardian's Relationship to Child
*
#2 Parent / Guardian's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact
*
Please include contact name, phone number, and your relationship to them.
Family Support
*
Each child's family is an important partner in YAW's success and we look forward to your help with this year's Haunted House at the Half Moon Bay Arts & Pumpkin Festival. This is the major fundraiser for YAW providing funds for the student-created play each year and your participation is critical. We request that each family volunteer a minimum of 10 hours of your time per student.
Haunted House Volunteer Options (TBD)
*
Please check boxes below to indicate in what ways your family members are willing to provide help. Mark as many boxes with which you can help.
Haunted House Food & Drink for Actors
*
Each child's family is expected to provide food or drinks to sustain the actors during the Haunted House. Please mark boxes below with items your family will contribute. Mark as many boxes with which you can help.
How did you hear about YAW?
*
Check all that apply
Media Release Statement
*
I understand that the Young Actors Workshop (YAW), plays, rehearsals, classroom activities, and fund raising functions may be photographed and audio or video recorded and that copies of the photographs, audio, or video may be retained by the photographer, director/choreographer, and YAW. I hereby release any interest in the photographs, audio, or video recordings, and release the photographer/videographer,director/choreographer, and YAW to use photographs or recordings (in part or entirety) for archival, portfolio, or publicity purposes, including print, television, radio, and online media. YAW is a non-profit, after-school children's theater program organized exclusively as a Section 501 (c)(3). The YAW mission statement: To provide a positive environment in which children can develop theater skills and have opportunities for public performance. No child shall be turned away due to lack of funds if scholarship monies can be found. YAW admits students of any gender race, color and national or ethnic origin.
Date Signed
*
MM
DD
YYYY
After submitting this form, I will pay the enrollment fee / tuition via:
*
