2019 Summer Registration To register for classes, please fill out the form below. Required fields are marked with an asterisk. Date ClassesStage to Screen (July 8–12) Price: $495.00 Quantity: The Tempest (July 15–19) Price: $795.00 Quantity: One Act Festival (July 22–26) Price: $495.00 Quantity: Sprouting Stars (July 22–25) Price: $350.00 Quantity: Young Actors Workshop (July 29–August 9) Price: $1,100.00 Quantity: Teen Intensive (August 12–23) Price: $1,250.00 Quantity: Adult Summer Dance At DuskAdult Summer Tap (Mondays July 8 - Aug 26) Price: $180.00 Quantity: Adult Summer Ballet (Tuesdays July 9 - Aug 27) Price: $180.00 Quantity: Adult Summer Ballet & Pointe (Tuesdays July 9 - Aug 27) Price: $270.00 Quantity: Parent/Adult InformationParent/Adult Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Parent/Adult Email* Alternate Parent/Adult Email Parent/Adult Phone*Alternate Parent/Adult PhoneStudent Information*To get total discounts, please register all family members at the same time. One student per field. To add students, use the plus sign (+) after the email field.Student Name*D.O.B.*2018-19 Grade*Student CellStudent Email How did you hear about us?Any message for the BTC Office?Order InformationSubtotal (Hidden)Total QuantityFamily Subtotal $0.00 Multi-class Discount (5%) $0.00 Early Bird Discount (10%)Pay in full by March 15, 2019 $0.00 Early Bird Discount (5%)Pay in full by May 6, 2019 $0.00 Registration Fee Price: $30.00 Total $0.00 Terms & ConditionsEnrollment. A registration form, emergency health form, and a placement interview must be completed prior to acceptance into any class. Students will not be allowed in class without specified attire. BTC tuition is non-refundable and non-transferable. No credits will be given. Conduct. All BTC students are required to adhere to BTC’s Behavioral Code of Conduct or they may be asked to leave the school. Please see handbook for the Code of Conduct, or inquire in the office. Students are not permitted to attend any program without a BTC emergency health form on file. Liability. I waive any liability against Broadway Training Center of Westchester, Inc. (BTC) and its employees for personal injury, illness or loss of property while participating in classes/performances for BTC. I authorize BTC and/or its representatives to use photographs and/or videos of my child, taken in conjunction with BTC classes and events, in its advertising, public relations and/or promotion. I accept and understand the terms of this agreement. Do you accept and understand the terms of this agreement?* I accept and understand the terms of this agreement.