Pre-Enrollment Questionnaire

IMPORTANT! Please verify that all information is correct before clicking the "Submit" button. If you have any questions, please contact Theatrical Corner at 908-326-6919 or Thank you!

* Indicates Required Fields

Your Name*
(First Name, Last Name)


Email address*


Confirm email address*


Day Phone*

  ( ) - -

Evening Phone*

  ( ) - -

Mother's Name*
(First Name, Last Name)


Father's Name*
(First Name, Last Name)


Student's Name*
(First Name, Last Name)


Street Address*


City, State, 5-Digit Zip-code*


Student's Date of Birth*


Student’s Age


Name(s) of Additional Children you want to enroll (please separate names with commas)


When are you interested in starting classes?*
(MM/DD/YYYY - Note: This year classes begin on 09/04/2013)


Program(s) of Interest*
(Select all that apply)