Fall 2025 Workshop Registration | Rockbridge Theater

Students First name

Students Last name

Student Email

Guardian(s) Name

Guardian(s) Email

Guardian(s) Phone: please use the following format +1 xxxxxx-xxxx

Students Date of Birth

Month

Day

Year

Address

Students Grade

Names of siblings also registering. (Please fill out a form for each student.)

Does your student have any special restrictions/needs (medical, dietary, physical, allergy) that the staff should be aware of?

Emergency Contact person (Name and phone number)

Theatre, Dance, or Vocal Experience (plays, tap, dance instruction, choir, etc.)

Special Skills (tumbling, juggling, instrument, etc.)

Height

Dress size (if applicable)

Pant size

Shoe Size

Conflicts (list dates and reason)

Workshop Policies

I understand and accept the above workshop policies:

Yes

Kids: (K-2nd Grade)

Full tuition:$225

Partial Tuition + 2.5 Volunteer Hours $175

Partial Tuition + 5 Volunteer Hours $100

Youth/Teens: (3rd - 12th grade)

Full Tuition$350

Partial Tuition + 5 Volunteer Hours $250

Partial Tuition + 10 Volunteer Hours $150

*Fees & volunteer hours are per child. We will continue to offer a $20 fee discount for siblings. Payment Due at time of registration