Two River Theater
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732 345 1400
TICKETS & CALENDAR
Jan 11 – Feb 2 / 2020
A Little Shakespeare: Twelfth Night
Jan 31 – Feb 9 / 2020
August Wilson's Radio Golf
Feb 29 – Mar 22 / 2020
View full event listings
Directions and Parking
Dine and Drink
Inside Two River
A Little Shakespeare
Pave the Plaza
INTENSIVES CONTACT FORM
Education Intensives Contact Form
Information we need to register a child for an Intensive course
Name of child attending course
Student Home Phone Number
Student Cell Phone Number
Student e-mail address
Is email an effective means of communication with you?
Student Birth Date
Date Format: MM slash DD slash YYYY
Student's Drama School Teacher
Let us know how you heard about this program
Parent/Guardian Cell phone number
Parent/Guardian E-mail Address
Parent/Guardian Work Number
Health Insurance Carrier and Number
We need to know both the name of the child's Health Insurance Carrier AND the Insurance Coverage account number
Primary Doctor's Name
Primary Doctor's Phone Number
Emergency Contact Name
Emergency Contact Cell Phone Number
Emergency Contact Relationship to Child
Please note any physical conditions of which medical personnel should be aware
Please list any medications student takes on a regular basis
Please note any medications or foods known to cause an allergic reaction for the child
Permission to seek emergency medical care
By entering your full name in this field, you grant permission to representatives of Two River Theater to seek emergency medical care for your child in the event that you cannot be reached or until you are able to be present.
Authorized Pick Up
Please list the names of the people authorized to pick up your child from Two River Theater's program. Include your name.
Do you authorize that your child may leave Two River Theater Unaccompanied?
Do you authorize Two River Theater to use your child's image?
Will you give permission for photos taken of your child to be used in promotional materials, Two River Theater's website, Facebook, Instagram, and/or articles about Two River Theater's education programs.
Any additional information we may need to know about your child