STAGE COMBAT WORKSHOP AT LOUISIANA TECH 2024

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Registration information for individuals planning to participate in the Stage Combat Workshop at Louisiana Tech University March 29th-30th, 2024 *Note, you must pay separately through the PayPal link on the TTP website or via check mailed to TTP

Email *

Last Name *

First Name *

Date of Birth *

YYYY

Cell Phone *

Current Address *

Level *

Starter (never done stage combat, or have some previous experience that needs dusting off)

Beginner (some stage combat training, been to a couple of workshops or classes)

Intermediate (semi-regular or consistent stage combat training)

Advanced (multiple years of consistent stage combat training and certification)

Local Housing/Hotel Information (Name, Contact Info, Address) *

Did you receive tuition through another workshop? *

Yes

If yes, please indicate which workshop.

Emergency Contact Name and Relationship *

Emergency Contact Phone Number *

Medical Information (Any problems that we should be aware of, such as allergies, dietary restrictions, serious medical conditions. Please define. Be detailed when it comes to severity of allergy. Please type N/A if nothing.)
*

Insurance Carrier (Note: All insurance information will only be visible to TTP officers responsible for organization of the workshop through the duration of the workshop. At the conclusion of the workshop, all insurance information will be purged from our system.)
*

Policy Holder's Name *

Policy Number *

Type initials and date to agree to Hold Harmless Release Form. If you are under 18, a parent or legal guardian must also initial and date. You must also download and complete a physical copy and either mail or scan and email it to TTP.
*

Shirt Size (1 standard T Shirt is included in registration, additional shirts may be purchased at the workshop)
*

XXL

If you wish to complete an SPR, please indicate which weapon(s) you are looking to renew. Note, payment for SPRs will be handled on site during the workshop.

Are you a current student at Louisiana Tech? *

Yes

Are you a current Tech Theatre Players Member? *

Yes

Are you a Louisiana Tech Alum? *

Yes

Digital Signature *

By checking this box, I agree that the above information is correct to the best of my knowledge

Required

A copy of your responses will be emailed to the address you provided.

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