in associat ion withSIMSBURY PARKS AND RECREATION

actingBoy Scout Hal l

Feb 6-March 27 (Skip 2/20)

Fridays

K-1st Graders 4: 15-5:00pm

2-4th Graders 5:05-6:00pm

5-8th Graders 6:05-7:00pm

$135

LOCATION

DATE

DAYS

TIMES

COST

Parent/Guardian Signature __________________________________________________________________ Date _______________________

Please detach and mail in with payment_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Simsbury Parks and Recreation Department and Performing Arts Programs, Inc. are not responsible for personal injuries, damages or losses, which may occur. As in any activity, there is a certain amount of risk involved. Signature on this form indicates recognition of these risks, permission to participate and consent to secure emergency medical treatment in the event a parent/guardian cannot be reached. It is also understood and agreed that program locations are determined through the availability of the location/town, therefore classes are not necessarily held on a stage/theater. Times and locations are subject to change. If this occurs, we will notify you by phone and/or e-mail.By signing below I also agree that once the program begins, under no circumstances will refunds be issued in any amount (except for medical reasons with a signed doctor’s note). For full disclosure of details go to www.performingartsprograms.biz/pap_policy_page

Participant(s) Name ____________________________________________________________________________ Age ________________ Grade _______________

Parent/Guardian Name ___________________________________________________________ Relationship to Participant ________________________________

Address ___________________________________________________________________ City ________________________________ Zip _____________________

Email *_________________________________________________________________________________________________ * Confirmation provided by email only

Home Phone ______________________________________________________________ Work/Day Phone ______________________________________________

Emergency Contact ___________________________________________________________ Emergency Contact Phone ____________________________________

Special Circumstances/Health Concerns ____________________________________________________________________________________________________

Performing Arts Programs Registration Form » Simsbury

Total $ _________Check # ____________ Date ____________

WINTER Acting $135

WINTER Broadway Jazz $135

unleash your creativity!www.performingartsprograms.biz

These classes run for seven weeks, meeting once a week (excluding skip days). At the end of the session there wil l be an informal performance to demonstrate what participants have been working on. For our past and more experienced performers, these classes wil l be chal lenging and offer new and exciting activities!

ACTING: Exciting theater games, improvisational exercises,acting terminology, concentration exercises, voice and speech,sense memory, subtext, stage skil ls and script work.

BROADWAY JAZZ: Basic styles of jazz dance and movement, highly-charged dance combinations to Broadway musical theater songs, and incorporating acting with dance! Jazz shoes or sneakers required.

Make checks payable to: Simsbury Parks & Recreation Dept.

Mail to: Simsbury Parks & Recreation, P.O. Box 455, West Simsbury, CT 06092

broadway jazzBoy Scout Hal l

Feb 4-March 25 (Skip 2/18)

Wednesdays

K-2nd Graders 4:30-5:20pm

3-6th Graders 5:30 6:20pm

$135

LOCATION

DATES

DAYS

TIMES

COST

performing arts classes

REGISTER NOW WITH SIMSBURY PARKS & RECREATION:TELEPHONE: 860.658.3836 WEB: www.simsburyrec.com

FOR MORE INFORMATION ABOUTPERFORMING ARTS PROGRAMS, PLEASE VISITwww.performingartsprograms.biz TEL: 860.432.9890