Registration

STUDENT INFO

Student Name *

First

Middle

Last

Birthdate and Age *

School Grade in 2026/2027 *

Medical History/Allergies *

Which class are you interested in? *

If your student is registering in more than one class, please use the drop-down menu in the 'Student info' boxes below

STUDENT INFO - Second Child

Student Name

First

Middle

Last

Birthdate and Age

School Grade in 2026/2027

Medical History/Allergies

Which class are you interested in?

STUDENT INFO - Third Child

Student Name

First

Middle

Last

Birthdate and Age

Student School Grade in 2026/2027

Medical History/Allergies

Which class are you interested in?

Family Information

Student Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent Name *

First

Last

Parent Phone *

Parent Email *

Email

Confirm Email

Parent Name

First

Last

Parent Phone

Parent Email

Email

Confirm Email

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

please School interested

Emergency Contact Email Address *

Email

Confirm Email

Media Release *

I consent
I do not consent

I consent and authorize Theatre in the Country Theatre Academy to use and publish any photographs or video/audio recordings of my student taken during rehearsal or performance for use in any and all media, including print and online presence (e.g., website, Facebook, Instagram). We never publish names or personal information. I understand that I am not entitled to any compensation for the use of promotional photos or recordings.

Medical *

I understand

I agree that if my child falls ill or is injured while in the care of TIC staff members, that they have my permission to call an ambulance or transport my child to hospital if they deem it necessary.

If you are registering for camp with a friend, please tell us their name!

Do you have any other questions or concerns? Please share them with us

STUDENT INFO

STUDENT INFO - Second Child

STUDENT INFO - Third Child

Family Information