Summer Program 2007

Registrant information

First name*

Last name*

Home phone*

Email*

Address*

City*

State*

Zip*

Country

School name*

Current grade*

Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12

Date of birth*

Art Discipline

Voice - vocal range:

Dance - Ballet

Dance - Jazz

Drama

Writing

Parent/Guardian information

Fathers name*

Contact No.*

Mothers name*

Maiden name*

Contact No.*

Medical ins. plan*

Policy No.*

Marital status*

Married Divorced Widowed

With whom does the child live?
(give details)*

Program Type

Full Day (9:30 - 3:00)

Applicant Essays

Please respond with short answers of 150 words or less to the following questions:

1. Please explain your involvement with your artistic discipline - how did you discover it, what experience have you had, what do you enjoy most about it?

2. How has your connection to Judaism affected your involvement in the arts, and vice-versa?