Education Registration Form

Programs and Payment

Please check which programs you are registering for:

Please note a few changes for the 2025 program year:

  • Vacation workshops will run for 5 days for all students.
  • There will be NO early/late program; rather, the program day has been extended until 3:30pm.
  • Program price is the same for all students (regardless of town of residence); however, our special 2024 rate is only available until December 31st!
Payment Options:

If you choose to pay online, the registration confirmation page and email will include a link to finalize payment. If you are requesting financial aid, a representative will reach out via email to discuss options and bill any payments separately.

Registration is not confirmed until payment is received. All purchases are non-refundable. Please direct any additional questions to Education Director Kate Sheridan at [email protected].

Student Information

Student Name: (*)
Date of Birth: (*)
Gender/Pronouns (if desired): (*)
Grade and School: (*)

Guardian Information

Parent/Guardian Name: (*)
Email Address: (*)
Phone Number: (*)
Street Address: (*)
City: (*)
State: (*)
ZIP Code: (*)

Emergency Contact

Emergency Contact: (*)
Relationship To Student: (*)
Emergency Email: (*)
Emergency Phone: (*)

Other Information

Has your child ever participated in a Reagle Music Theatre/Youth Theatre program before? (*)
Please give a brief overview of your child's theatre/music/dance experience. (Beginners always welcome!) (*)
Does your child have any allergies or medical/behavioral conditions we should know about in order to best support them in this program? (*)
Where did you hear about Reagle Youth Theatre (social media, playbill ad, Google, etc.)? If a friend, please name! (*)
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