Registering is easy

You can register online here, or you can download our registration form to send via fax or mail.

Questions?

Call 510 647�2972, or e-mail outreach@berkeleyrep.org.

Required fields *

Please fill out one form per classroom
* School Name:  
* School Address:  
* City:  
* State  
* Zip:     
* School Phone     
Fax:  
* Main Contact First Name:  
* Main Contact Last Name:  
* Main Contact Phone:     
* Main Contact Email:  
 
By providing my email 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 email address will never be traded or sold.
Preferred method of contact:
Best time to reach you:
Teacher Name (if different than Main Contact):
School Website:
District:
County:
Principal Name:
Principal’s Email:  
* School Level:  If other
* School Type  If other
Is this a Title I School?
Is this school in program improvement (PI)?
If so, what PI level?
Where should the Teaching Artist park during the visit?
Where is the Main Office located?
Each class should have no more than 30 students. To book multiple visits or programs, please call us at 510 647–2972.
How many students are in the class?
Click here to learn more about our programs.
* Please choose the program you are interested in bringing to your classroom. Grades :   
                                   Story Builders:
                                    
                                  Literature Selections: Other: 
                                  Language: 
                                 Grades 6 to 8   

                                 Grades 9 to 12

In order to coordinate your schedule with our teaching artists, Please list three preferred dates and times.  · To schedule a one-time visit, please list three preferred dates and times for the visit.  · To schedule a three- or ten-hour workshop, please list three preferences for start date, day of week, and time.
1st Choice   Pick a date  Date of Week:    Time:
2nd Choice   Pick a date  Date of Week:  Time: 
3rd Choice   Pick a date  Date of Week:    Time:
Please indicate any special notes about the dates/times:
Please indicate any special notes about the class (i.e. special education, physically challenged, honor roll, etc.):
Please fill out the following demographic information, which helps us to pursue funding to support our programs. (Demographic categories are determined by our funders.) Please use number of students per category, not percentages.

Female:      Male:

Caucasian

Asian American:

Black / African American:

Pacific Islander:

South Asian:

Native American:

Spanish / Hispanic/ Latino/a:

Other

For 10-hour visits: We may be able to customize a focus for your residency to match your curriculum. If you would like to focus on a specific subject, please list it here and we will follow up for details:
Please fill out the following information for the Teaching Artist’s visit. Please provide as many details as possible to prevent the need for additional follow-up.
What space will Teaching Artist be using? Please choose one and indicate room number, etc.
                                                     

The following equipment is required for our programs:
       A space with AT LEAST 15x15 feet cleared
       A chalkboard or whiteboard
       A CD player
       Student name tags (for grades K�8)
       A staff lounge/bathroom with acess for the teaching artist

Please check to acknowledge that you will provide the above required

How did you hear about us? 

Have your purchased tickets or taken a class at Berkeley Rep?

Once your date is confirmed, an invoice will be generated and payment will be due.

Please indicate fee type(s): 

* Limited to one free teaching hour per public school in Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma counties. Based on availability of Berkeley Rep School of Theatre staff. Limited to 30 students per classroom. Must sign and agree to Berkeley Rep School of Theatre booking agreement.
** Must be paid by personal check or credit card for use in educator�s own classroom.

Please note that filling out the registration form does not guarantee a specific date, time, or program.

Registrations will be processed in the order received. The School Administrator will follow up within five (5) business days. If you have not heard from us, please contact us at outreach@berkeleyrep.org or 510 647�2978. Programing subject to availability.