Registration

**Please note that the start date for Spring 2012 is February 7th, which is different than previously published.**

Be sure to fill in all the required information. After you complete the registration form you will be prompted for a $20 non-refundable deposit to reserve a spot in the class.

To register by mail: Click here to download the form and send it to: 2459 SE T.V. Hwy, Ste 217, Hillsboro OR 97123.

* denotes required field.

*Student First Name:

*Student Last Name:

*Student Age:

*Current Grade:

*Term:

*Class:

Student's School:

*Parent First Name:

*Parent Last Name:

*Phone Number:

*Email Address:

*Address:

*Emergency Contact
(someone not listed above):

*Emergency Contact Phone Number:

Allergies or other medical information:

How did you hear about us?:

Name of referral:

Promotional Code:

Additional Information:

Medical Consent and Release of Liability (please initial)

I, the undersigned parent or guardian of this student, a minor, do hereby authorize the directors and teachers of Northwest Youth Theatre (NYT) as agents for the undersigned to consent to medical treatment in an emergency. I hereby release and discharge NYT from any and all claims for personal injuries.

I agree that photographs of this student taken during workshop hours may be used for promotional purposes by NYT.

Payment Information

Big Brats:Tuition for each term is $165.00 per term, payable in three installments of $55.00. Receive a discount for pre-paying the full amount by the first rehearsal ($135.00 for the term).

Little Brats:Tuition for each term is $135.00 per term, payable in three installments of $45.00. Receive a discount for pre-paying the full amount by the first rehearsal ($120.00 for the term).

Holders of the Passport Unlimited Employee Discount Card will receive 20% off total tuition for the term. Register online and enter promotional code PASSPORT. You will need to present your Discount Card on the first day of classes to qualify for the discount.

Discounts cannot be combined. We will apply which ever discount is the greatest for your family.

To secure enrollment in any class or camp, please send non-refundable $20 deposit for each class. The remaining balance for the first month's tuition (or full camp tuition) will be due the first day of class. On the following page you will also have the option to pay in full.

REFUND POLICY: Full refund if class is cancelled by NYT. Tuition, less deposit, will be refunded up to second class session.

Tuition assistance is available for families who qualify. Contact us for more details.