Participant's Name *

First Name

Last Name

Parent/Guardian's Name *

First Name

Last Name

Participant's Date of Birth *

MM

DD

YYYY

Which HAT Academy program are you apply for? *

Let's Play (ages 5-7)

Let's Play (ages 8-10)

"JR" JR Resident Company (ages 7-9)

JR Resident Company (ages 10-12)

Early Teen Resident Company (ages 13-14)

Teen Resident Company (ages 15-18)

JR Sings (ages 10-16)

Broadway Roulette (ages 13-18)

JR Production Company

Teen Production Company

Other (Please Specify Below)

Primary Contact Phone Number *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you identify with either of the following groups? (Scholarships are given with priority to BIPOC and LGBTQ+ Youth, although neither are requirements and anyone is encouraged to apply) *

BIPOC

LGBTQ+

I don't identify with either of these groups