STEP BY STEP! with Becky Wilczak Summer Sessions
Please complete this form to enroll your child in "STEP BY STEP ! with Becky Wilczak".
Weekly Fee is $125.  
Checks may be made payable to "FVCT" and mailed to: The Center on Main, 103 Main Street, Falls Village, CT 06031.   (Program is subject to minimum enrollment.)  

Students will learn three different dance numbers from different musicals to help improve their confidence in musical theatre dance and knowledge of different eras of musicals. Each class will begin with a warm-up/stretch session and then will move into choreography. The class is designed to encourage questions about basic dance steps and to enhance acting through dance.

Students may sign up for a single week or a combination of weeks.

Sessions run Mon-Fri from 9 am - 12 pm at the Center on Main.

WEEK 1: July 22 - July 26
WEEK 2: July 29 - Aug 2
WEEK 3: Aug 5 - Aug 9

Instructor:  Becky Wilczak
Coordinator/Assistant:  Devin Boyden

Please be sure to click on "SUBMIT" at the bottom of the form when you are ready to send it in.

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Email *
Student's Last Name *
Student's First Name *
Nickname (if any)
WEEK 1: July 22 - July 26
WEEK 2: July 29 - Aug 2
WEEK 3: Aug 5 - Aug 9
 FEES DUE BY JULY 15TH, 2019
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ARTS FUND FOR REGION ONE:  DEADLINE TO APPLY IS MAY 1ST.  VISIT https://www.grantinterface.com/Home/Logon?urlkey=berkshirescholarship 
(Choose the Susan Fillman Scholarship from the Arts Fund for Region One)
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Medical Release *
Your name printed below serves as your signature granting the following Medical Emergency Release:  Medical Emergency Release: I authorize the Falls Village Children’s Theater Company to administer care and treatment for injuries and/or illnesses for my child that may occur while in session. I authorize the release of information and medical records to facilitate the medical, surgical or psychiatric care of my child. In the event of an emergency, illness or injury in which a delay may jeopardize the life of the recovery of my child and I am unable to be contacted, I authorize the Falls Village Children’s Theater Company and/or its representatives, instructors, volunteers or staff to assume responsibility for the care and treatment of my child which many include hospitalization, diagnostic tests and/or surgery.
Participation Release *
Your name printed below serves as your signature giving approval for this Participation Release:  I/We, the parent(s) of the above named child(ren), hereby give approval for him/her/them to participate in any and all activities of the Falls Village Children's Theater Company and do hereby waive, release, absolve, indemnify and agree to hold harmless the Falls Village Children's Theater Company, all organizations, all organizers, all instructors, volunteers, officers, directors, sponsors, supervisors, participants and persons involved in the Falls Village Children's Theater Company, for any claims arising out of any injury, including transportation to and from activities, to my/our child(ren) whether the result of negligence or for any other cause. This release holds true for my child(ren) as well and myself/ourselves.
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Media Release Signature *
Your name printed below serves as your signature for the options you have selected above regarding permissions for your child’s photo to be taken and used, possibly, to publicize other FVCT theatre camps, classes and workshops. In addition, your signature gives permission for the FVCT to videotape rehearsals and performances, when allowed.
BEHAVIORAL EXPECTATIONS *
Your name printed below serves as a signature agreeing with the following:  The Falls Village Children’s Theater Company reserves the right to dismiss students for behavioral issues. Our instructors strive to insure a fun and educational experience for all of our students. A dismissal due to behavioral issues is highly unlikely. Your signature below serves as acceptance of this policy.
A copy of your responses will be emailed to the address you provided.
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