Fill in the fields on the attached PDF and then click “submit by email” at the top of the page. You will receive confirmation of your registration within seven business days.
You must have Adobe Acrobat to view this document. Download a free Adobe Acrobat reader. Alternatively, you can fill in the form below, print it and mail or fax it to us.
Alternatively, please mail or fax this form and payment to: Berkeley Rep School of Theatre, Nevo Education Center, 2025 Addison Street, Berkeley, CA 94704. Phone: 510.647.2972. Fax: 510.647.2979. E-mail: school@berkeleyrep.org. Please fill in all fields.
student name
date of birth
student 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!
berkeley rep patron id number
address
city, state, zip
phone (home)
phone (work)
emergency contact
phone
relationship to student
Are there any pre-existing medical conditions or allergies that the Berkeley Rep School of Theatre should be aware of?
I would like to register for the following Summer 2008 course(s)
1. class name and tuition amount
2. class name and tuition amount
How did you hear about the berkeley rep school of theatre?
I give Berkeley Repertory Theatre the absolute rights and permission to publish and/or copyright photographs and/or video 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. If you wish only to receive e-mails related to the School of Theatre, please check here. [ ]
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
• All registrations are processed in the order they are received. Registrations
will be accepted until the class is full or until the end of the first week
of class, whichever comes first.
• Returned checks: A $25 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: If you cancel before class begins, we will refund
tuition less a $50 processing fee per class. If you cancel within 24
hours after the first class meeting, we will refund half the tuition amount.
After 24 hours after the first class meeting, no refund will be given. Refunds will not be given for the following class: Summer Playwriting Workshop.
• 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.
Please pay by check made out to Berkeley Repertory Theatre or fill out the necessary credit card information.
please select ____ American Express ____ MasterCard ____ Visa
credit card number
expiration date
name as it appears on the credit card
signature
date
We’re thrilled to announce we’ve partnered with Allston Way Garage to offer Berkeley Rep patrons $3 parking.