Acting Academy Application

The Acting Academy After-School Program is designed for middle school students interested in exploring theatre and performance through fun games and interactive activities.

Student's Name*
First Last
Parent's Name*
First Last
Student's School*
Grade Level*
Age*
Personal Pronouns*
If you selected "other" in the above question, please let us know what your personal pronouns are.
Date of Birth*
Month
Day
Year
Address*
Street Address Address Line 2 City State ZIP Code
Parent's Email*
Parent's Phone*
Student's Email*
Student's Phone
Emergency Contact*
First Last
Emergency Contact's Phone*
Medical Information
If your child is involved in any other after school activities please list below and program dates:
How did you hear about Acting Academy?
Check all that apply
- Social Media
- Web
- E-mail
- Playbill
- Flyer
- Word of Mouth
- Other
If Other, Please List

Student's Name*
First Last
Parent's Name*
First Last
Student's School*
Grade Level*
Age*
Personal Pronouns*
If you selected "other" in the above question, please let us know what your personal pronouns are.
Date of Birth*
Month
Day
Year
Address*
Street Address Address Line 2 City State ZIP Code
Parent's Email*
Parent's Phone*
Student's Email*
Student's Phone
Emergency Contact*
First Last
Emergency Contact's Phone*
Medical Information
If your child is involved in any other after school activities please list below and program dates:
How did you hear about Acting Academy?
Check all that apply
- Social Media
- Web
- E-mail
- Playbill
- Flyer
- Word of Mouth
- Other
If Other, Please List

Dear patrons:

As you know, public events at Proctors, UPH and theREP are postponed until further notice due to state and federal restrictions on public gatherings.

Our box office is available at (518) 346-6204 from 10 a.m.-2 p.m. Monday through Friday.

For more information >> Click Here