Our 2019 summer program is currently at capacity however if you are still interested, please use our contact form and you will be placed on our waitlist. Summer Program Registration Form Student InfoStudent Name* First Last Student Birthdate* MM slash DD slash YYYY mm/dd/yyyyGrade*Select grade for 2022-23 school yearSelect incoming grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeStudent Email If different from parent email Parent/Guardian InfoParent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Phone*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Optional Full Day ProgramI'm interested in enrolling my child in the optional morning program from 8:30am-Noon each day Yes No Bright and Early Program for High School StudentsI'm interested in the Bright and Early Program and how I can earn college credit for my participation in IABK's Summer Program. Yes No Share with us your top three performing arts experiences*(productions, roles, training or educational programs)T Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeConflict DatesPlease list below potential travel dates, dates of participation in other programs and anything else that may impact full participation. Δ
