THE ENROLLMENT PROCESS Please fill out the following application. Send the completed application with a non-refundable deposit of $100.00 made out to Berkeley Repertory Theatre and mail to Berkeley Rep School of Theatre / Nevo Education Center / 2025 Addison Street / Berkeley, CA 94704. The remaining balance of the tuition fee will be due by June 1, 2006. Applications will be accepted on a first-come, first-served basis. The registration process will continue until all sessions are filled. SCHOLARSHIPS A limited number of scholarships are available. If you are interested, please contact the Berkeley Rep School of Theatre for information at 510.647.2972 or school@berkeleyrep.org. THE APPLICATION If you would like to register for a summer session, please fill out the following form completely. Please attach a check for the non-refundable deposit of $100.00 made out to Berkeley Repertory Theatre and mail to Berkeley Rep School of Theatre / Nevo Education Center / 2025 Addison Street / Berkeley, CA 94704. STUDENT NAME STUDENT E-MAIL * STUDENT GENDER STUDENT AGE IN SEPTEMBER 2006, I WILL BE ENTERING GRADE IN SEPTEMBER 2006, I WILL BE ATTENDING PARENT/GUARDIAN NAME PARENT/GUARDIAN E-MAIL * * Please note: To save paper, e-mail will be the primary source of communication between the School and its students. Please supply us with an address that you will check regularly. Thanks! ADDRESS CITY, STATE, ZIP HOME PHONE WORK PHONE Please circle the session that you are enrolling in SESSION 1 (students entering grades 6–8): June 19–July 14, 2006 SESSION 2 (students entering grades 9–12): July 17–August 11, 2006 Please pay by check made out to Berkeley Repertory Theatre or fill out the necessary credit card information. PLEASE CIRCLEVisaMasterCard CREDIT CARD NUMBER EXPIRATION DATE NAME AS IT APPEARS ON THE CREDIT CARD SIGNATURE DATE How did you hear about this class? I give Berkeley Repertory Theatre the absolute rights and permission to publish and/or copyright photographs of myself and/or my child. These photographs may be used for marketing and publicity purposes, in any medium, without compensation to myself and/or my child. I hereby waive any right to inspect or approve the finished product, including written copy that may be created with said photographs. By providing my e-mail address, I’m signing up to receive online correspondence from Berkeley Repertory Theatre. I can tailor my personal account to receive the type of information I want after I am signed up and can unsubscribe at any time. My e-mail address will never be traded or sold. I agree to hold Berkeley Repertory Theatre, its board of directors and employees free and harmless from any and all claims, costs, losses, damages, recoveries, settlements and expenses of any nature or kind which may be incurred by participation in School activities. Disruptive or disrespectful behavior is not tolerated and will result in immediate expulsion from the Berkeley Rep School of Theatre with no refund. STUDENT SIGNATURE DATE PARENT SIGNATURE (if student is younger than 18) DATE REGISTRATION POLICIES —All registrations are processed in the order they are received. Registrations will be accepted until the Intensive is full or until the end of the first week of class, whichever comes first. —Returned checks: a $25.00 service charge will be attached to any check returned by the bank due to insufficient funds. —Class confirmations: after your registration is processed, you will receive information confirming your spot in the class. —Cancellation Policy: balance is due on June 1, 2006. If you cancel more than 14 days before the session begins, we will refund half the tuition amount. If you cancel less than 14 days before class begins, no refund will be given. Deposit is nonrefundable. —We reserve the right to cancel a class if enrollment is insufficient. In this instance, any tuition paid will be refunded in full. —Berkeley Repertory Theatre is not responsible for any lost, damaged or stolen personal belongings. —All dates, times and programming subject to change.