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Will Play Registration
(Step 1 of 3): Personal information. Payment and
Student information will be collected on following page. The 2010 Will Play
program will take place from July 5-31, 2010 in South Pasadena (exact
location TBA).
Parent/Guardian Information
*First Name:
Middle Name:
Maiden Name:
*Last Name:
Relationship to Student(s):
*Contact Email:
Phone Numbers
*Primary Phone:
home
cell
work
Secondary Phone:
home
cell
work
Emergency Contact Information
*First Name:
*Last Name:
Relationship to Student(s):
Secondary Phone:
home
cell
work
How did you hear about Will Play?
(check all that apply)
Past participant
Audition Prep participant
Word of Mouth
SCLA Website
Other
Will Play Applicant Information
How many students will you
be enrolling for Summer 2010?
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Check the box if you are applying for financial assistance:
What is the total size of your household?
Please include parents, all dependent children and
any other dependents living in your home.
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GROSS MONTHLY INCOME
Any information provided will NOT be shared. You must be
prepared to verify this information with a Will Play staff member.
Earned by Father:
Earned by Mother:
Social Security Benefits:
AFDC Welfare Benefits:
© 2006-2009 Shakespeare Festival/LA, 1238 W. 1st Street Los Angeles, CA 90026 -213.481.2273