STUDENT INFORMATION
First Name
*
Last Name
*
Date of Birth
*
Age
*
Gender
*
Select from ...
Female
Male
Other
Student's City of Residence
*
School
Grade (Fall 2024)
*
Race/Ethnicity (optional)
Requested for grants and donation information.
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact Phone #
*
I understand that in the event of an emergency PacRep/SoDA will make every effort to reach a parent or guardian, however,
if that is not possible, SoDA has permission to seek appropriate medical care. I understand that PacRep Theatre and SoDA
will not be held responsible for any medical expenses for the student.
I Agree to the Emergency Release
*
Please read and agree:
I understand and agree to behave in a respectful manner towards all SoDA instructors, students, materials, and locations
at all times. My right to attend class(es) can be revoked should I not adhere to a proper behavior code.
I Agree to Code of Conduct
*
For valuable consideration received, I hereby grant SoDA and its legal representatives and assigns, the irrevocable and
unrestricted right to use and publish photographs/videos of my child in class at SoDA, for editorial trade, advertising and
any other purpose and in any manner and medium; and to alter the same without restriction. I hereby release SoDA of its
legal representatives and assigns from all claims and liability relating to said photographs/videos.
I Agree to Photo/Video Release
If applying for Financial aid, please download and submit scholarship request form using link below.
PARENT/GUARDIAN INFORMATION
First Name
*
Last Name
*
Mailing Address line 1
*
Mailing Address line 2
Mailing Address line 2
City
*
State
*
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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
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American Samoa
Guam
Northern Mariana Islands
Puerto Rico
Virgin Islands
Federated States of Micronesia
Marshall Islands
Palau
Armed Forces (Americas except Canada)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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Other...
Zip Code
*
Phone #
*
Work Phone #
E-mail Address
*
*Student Registration Fee $20 (once per semester, per student) . . . . . . . . . .
*
*Student Registration Fee $20 (once per semester, per student)
KINDER MUSICAL CAMP (GRADES: K - 1) M-F, 6/3 - 6/7 1P - 3P $120
KINDER MUSICAL CAMP
SoDA Instructor: Cam Burchard Fee $120
DATES: M-F, 6/3 - 6/7 TIME: 1:00P - 3:00P
GRADES: K - 1 Location: Forest Theater
M-F 1:00P-3:00P 6/3–6/7 $120
KINDER MUSICAL CAMP July (GRADES: K - 1) M-F, 7/8 - 7/12 10A - 12P $120
KINDER MUSICAL CAMP July
SoDA Instructor: Cam Burchard Fee $120
DATES: M-F, 7/8 - 7/12 TIME: 10:00A - 12:00P
GRADES: K - 1 Location: Forest Theater
M-F 1:00P-3:00P 7/8–7/12 $120
-CAMP FULL-FILM ESSENTIALS CAMP (Grades 5-12) M-F, 6/10 - 6/14 1P - 4P $150
FILM ESSENTIALS CAMP -FULL-
(Grades 5-12)
M-F, 6/10 - 6/14
1:00P - 4:00P
$150
M-F 1:00P-4:00P 6/10–6/14 $150
FILM ESSENTIALS JULY CAMP (Grades 5-12) M-F, 7/15 - 7/19 1:00P - 4:00P $150
FILM ESSENTIALS JULY CAMP
(Grades 5-12)
M-F, 7/15 - 7/19
1:00P - 4:00P
$150
M-F 1:00P-4:00P 6/10–6/14 $150
MUSICAL INSTITUTE (Grades 2-12) Tu-F 10A - 12P 6/11 - 6/21 $195
Musical Institute Camp
(Grades 2-12)
Tu-F 10:00A - Noon
6/11 - 6/21
$195
M-F 10:00A-12:00P 6/10–6/21 $195
CXLD - PLAY PROD (Grades 6-12) M-F 1P-4P 6/17-7/19 $485
PLAY PRODUCTION
Grades 6-12
M-F 1:00P-4:00P
6/17-7/19 (no class 7/4)
$485
M-F 1:00P-4:00P 6/17–7/19 $485
SHOWSTOPPERS (Grades 2-4) M-F 9:30A-12P 6/24 - 6/28 $245
SHOWSTOPPERS: "Galaxy of Stars"
(Grades 2-4)
M-F 9:30A-12:00P
6/24 - 6/28
$245
M-F 9:30A-12:00P 6/24–6/28 $245
MUSICAL INSTITUTE JULY(Grades 2-12) M-F 10A - 12P 7/15 - 7/26 $195
Musical Institute Camp
(Grades 2-12)
M-F 10:00A - Noon
7/15 - 7/26
$195
M-F 10:00A-12:00P 7/15–7/26 $195
-CAMP FULL -MUSICAL THEATRE BOOT CAMP Grades 4-12 M-F 1P - 4P 7/22 - 8/2 $325
MUSICAL THEATRE BOOT CAMP
Grades 4-12
M-F 1:00P - 4:00P
7/22 - 8/2
$325
M-F 1:00P-4:00P 7/22–8/2 $325
How did you hear about PacRep's School of Dramatic Arts (SoDA) program?
Facebook
Instagram
Twitter
Monterey Bay Parent Magazine
School Announcement
Word of Mouth
PacRep Theatre website
Other (please specify):
Classes and class times are subject to change.
Financial Aid Requested
The Peppy Garner and Darnell Whitt School of Dramatic Arts (SoDA) is a program of Pacific Repertory Theatre, a non-profit organization.
Through your generous donations, the show goes on. Please donate today!
Tax Deductible Donation
USD