Please fill out the following application. Send the completed application with a non-refundable deposit of $100 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, 2008. Applications will be accepted on a first-come, first-served basis. The registration process will continue until both sessions are filled.
A limited number of need-based 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.
If you would like to register for a summer session, please fill out the following form completely. Attach a check for the non-refundable deposit of $100 made out to Berkeley Repertory Theatre. Mail the application and fee to Berkeley Rep School of Theatre / Nevo Education Center / 2025 Addison Street / Berkeley, CA 94704.
student name
student e-mail *
student gender ____ male ____ female
student date of birth
in september 2008, i will be entering grade
in september 2008, 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 and release school@berkeleyrep.org from your spam filter.
address
city, state, zip
home phone
work phone
if student and parent do not live at the same address, check here [ ]
Please circle the session in which you are enrolling
session 1 (students entering grades 6–8): June 23–July 18, 2008
session 2 (students entering grades 9–12): July 21–August 15, 2008
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/video 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
parent / guardian signature (if student is younger than 18)
date
• 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 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, 2008. 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.
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