BEANSTALK PROGRAMS PRESCHOOL DANCE ACTING I ACTING II PERFORMANCE SKILLS MUSICAL THEATRE COMPANY 1-ON-1 COACHING SESSIONS PROGRAM REGISTRATION Subject * Student's Name * First Name Last Name Student's Birthday * MM DD YYYY Email * Provide an email that you or your student check regularly; this is where we will send important program info, notifications of any class cancellations, etc. Program * (Please select all classes you are registering your student for) Preschool Dance Session 2: (Age 4) TUESDAYS 3:45 - 4:15pm -- Oct 21 - Dec 2, 2025 Message Thank you! Your registration request has been submitted. We will be in touch via email within the next 1-2 business days. *IF YOU HAVE MORE THAN ONE STUDENT YOU ARE REGISTERING, PLEASE COMPLETE SEPARATE FORMS FOR EACH STUDENT