2019 Teens Speak Up
Please fill out this registration form to apply to be a part of our Speak Up Workshop for Teens! Upon completion, a member of the Chance Theater's Education Department will be in touch with you for phase two of the application process and Interview information.

For more detailed information about the Speak Up program, visit www.ChanceTheater.com/speakup
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Email *
What session would you like to attend? *
Student Name *
Student Home Phone *
Student Cell Phone
Student Email *
School *
School District *
Grade (2019-20 School Year) *
Referring Teacher or Person
Are you available for the ENTIRE rehearsal and performance schedule? Classes: June 17th - July 19 (Monday, Wednesday and Friday), Tech and dress rehearsals: July 22- 26th (Monday-Friday) and Performances on July 27th and 28th (Saturday and Sunday) at 11:00 am and 7:00 pm. *
List all potential and known conflicts for the above dates.  
Parent/Guardian Information
Parent/Guardian Name *
Relationship *
Parents/Guardian Cell Phone *
Parent/Guardian Secondary Phone *
Parent/Guardian email
Address *
City *
Zip *
Student Information
Have you participated in Speak Up before? *
If yes, list the years that you've participated.
Tell us a bit about yourself. *
Do you currently take any classes in the performing arts? (Music, Dance, Theater)? *
If so, describe your classes.
Have you ever been in a play or musical production in your school or community before? *
If so, list show, location, and role.
List any professional theater productions you have seen. *
What areas of the performing arts are you most interested in learning about? *
Check all that apply
Required
Do you have any special talents we should know about? *
Musical instruments, skills, etc..
Would you like to make the arts part of your career? *
Explain
Why do you want to attend Speak Up? *
A copy of your responses will be emailed to the address you provided.
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