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DCTC Kids & Minis Interest Form
First Name *
Last Name *
Email *
Confirm Email *
Phone Number
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
How old is your child(ren) you would be signing up? *
How did you hear about DCTC Kids & Minis Club? *
Facebook
DCTC Website
School Flyer
Community Event
At a Youth Camp
Other
Duration of Participation (For KIDS CLUB) *
If you were to sign your child up, what commitment would you most be interested in?
Full Year (1 payment $450)
Full Year (2 payments @ $300/200)
Half Year ($300)
A Quarter at a time ($150)
N/A
Duration of Participation (For MINIs CLUB) *
Once a year only
Both opportunities
N/A
What type of activities would you like to see? *
Mark all that interest you.
Acting Classes/Workshops
Musical (Karaoke, Sing-a-longs)
Local Theater Production Outings
Set/Prop Construction Classes
Improv Nights
Theatrical Viewing Party (at local movie theater)
Other
How likely are you to sign your child up for DCTC Kids or Minis Club? *
Planning on it!
Very Likely
Likely
Somewhat Likely
Not at all
Any other comments or suggestions?
Please note we take suggestions for activities or program structuring into consideration, but cannot guarantee their being implemented.
May we contact you to follow up?
For any suggestions that have been made, we'd love to follow up for more detail or clarification.
Yes
No
Please ensure you enter a valid email (including the @ sign).
Please confirm your email before proceeding.
Submit