Summer Intensives Registration

Date
MM slash DD slash YYYY
Student Information
Student's Name*
Name of student attending course
Whose Name is this Student Registered Under?
First Last
If you registered through our website, please enter the name of the person who did the registering.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Student's Cell Phone Number*
Student's Home Phone Number (if applicable)
Student's Email Address*
Enter Email Confirm Email
Is email an effective means of communication with you?*
- Yes
- No
Student's Pronouns
- she/her
- he/him
- they/them
Check all that apply
Student's Birth Date*
MM slash DD slash YYYY
Student's Age as of July 2026*
Student's School*

Parent/Guardian Information
Parent/Guardian Name(s)*
Parent/Guardian Cell Phone Number(s)*
Parent/Guardian Work or Home Phone Number(s)
Parent/Guardian E-mail Address*
Enter Email Confirm Email
Is email an effective means of communication with you?*
- Yes
- No
My child has participated in...
- prior Summer Programs at Two River Theater
- other Two River Theater Education programs
- other drama/theater programs, not at Two River Theater
- no prior drama/theater programs
Please list the programs your child has participated in, if any:
In case of an Emergency, Parent/Guardian will be contacted first. If they are not available, please contact:*
Emergency Contact's Phone Number*
Emergency Contact's Relationship to Student*
The following are the only people authorized to pick up my child from TRT’s program:*
PLEASE INCLUDE YOUR OWN NAME! Exceptions must be submitted in writing that day.
Please check here only if your child may leave unaccompanied.
Yes, my child may leave Two River Theater without a parent/guardian/authorized person.
May Two River Theater use your child's image in promotional materials?
Photo and video may be used for Two River Theater's website, Facebook, Instagram, press articles about Two River Theater's education programs, and other institutional materials and promotions. Name or other details about students will never accompany use of their image. If you do not give your permission, please do not check the box.
YES, Two River Theater may use my child's image

Two River Theater