StagePlay Learning RegistrationSpring 2024 | Summer 2024 Parent's Name * if student is under 18 First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### Child's Name * First Name Last Name Date of Birth * MM DD YYYY Child's Age Child's Current School * Is your child new to StagePlay? * New! Returning How did you learn about our program? Social media, Google search, or were you referred by someone? If so, please include their name. Reason you chose this class? Select Class * Spring PK-2nd grade | January 22 - April 22 | Mondays - 5:30 - 6:15 pm Spring PK-2nd grade | January 23 - April 23 | Tuesdays - 5:30 - 6:15 pm Spring 3rd-5th grade | January 22 - April 22 | Mondays - 6:30 - 7:15 pm Spring 3rd-5th Grade | January 23 - April 23 | Tuesdays - 6:30 - 7:15 pm Bluey Summer Camp | PK - 2nd Grade | July 8 - 12 | 9am - Noon Harry Potter Summer Camp | 3rd - 5th Grade | July 8 - 12 | 1pm - 4pm Barbie Summer Camp | PK - 2nd Grade | July 15 - 19 | 9am - Noon Barbie & Friends Summer Camp | 3rd - 5th Grade | July 15 - 19 | 1pm - 4pm Form of Payment * $194 due on or before the first class Check mailed to Tessitura Music, 871 S Arbor Vitae Suite 4, Edwardsville, IL 62025 Please contact Amy Prince for Venmo or Cash payment options Comments Please list your questions and anything else we need to know. Thank you for registering! Your spot in StagePlay Learning summer camp is confirmed with payment. Mail check to:Tessitura Music ATTN: StagePlay871 Arbor Vitae, Suite 4Edwardsville, IL 62025