Teen Page to Stage

Information about Parent / Guardian
Once your student's information is "submitted" you will be sent to the PayPal site.
Your First Name(s) (required)

Your Last Name (required)

Your Email (required)

Your phone number (required)

Your Address (required)

Please enter the name of the teen who will be taking the class. (You will need to fill out a separate form for each student.)

Student's First Name(s)

Student's Last Name

RELEASE OF CLAIM: By registering your student in the youth workshop with Oakville Improv Theatre Company, you are releasing Oakville Improv from any and all claims of personal injury or property damage to yourself or student while participating in said workshop or any other consequential claims relating to any personal injury or damage in relation to the workshop.
PHOTO RELEASE: By registering with Oakville Improv Theatre Company you are allowing your student's image to be potentially used in promotional, grant or website material without compensation. If there is concern to opt out of photo material, please send a request in writing to Oakville Improv Theatre Company.

If you have any other notes (allergies, barriers to access - physical limitations, learning disabilities you would like to share for ease and comfort), please enter them here: