STG Broadway Inclusion Program Registration

STG's Broadway Inclusion Program provides free theatre arts programming to community members who are neurodivergent and/or disabled and their families and caregivers. Participants tend to be between 8-50 years old, but all ages and abilities are welcome!

Participants will meet once a week through a closed group Zoom livestream class on Mondays 3:30pm-4:05pm to explore musical theatre and movement-based activities in a creative and safe environment.

Participants can have their cameras turned on or off and are empowered to join in whatever way is most positive and accessible to them whether it's through just observing class, following along with the singing, movement, acting, or a combination of those things. Participants can also choose if they would like to join the livestream classes or just watch the recorded classes on their own schedule or a combination of both.

Contact Information

Guardian First Name

Guardian Last Name

Number of participants from your household/group joining class:

Age(s) of participants from your household/group joining class:

Please enter first name(s) of participants from your household/group joining class:

Primary/Guardian Email Address (this will be used for class communications)

Phone Number of Primary Guardian:

Program Information

What Sessions Are You Interested In?

Ain’t Too Proud (Winter March 1– March 29)Hadestown (Spring April 12 – June 7) The Wiz (Summer June 21 – August 16)

Do you have any accessibility needs (ASL, captions, etc.) that we need to take into consideration for these classes?

YesNo

Which one(s)?

What are a couple of things your participant(s) love? (ie. types of food, movies, activities, colors, animals, etc.). This will be used as inspiration for one of our games!

How did you hear about our Broadway Inclusion Program?

Any other questions or comments:

Waiver/Release

Disclaimer: By participating in any of these class sessions, viewers acknowledge that they are responsible for taking care of their needs and finding their own modifications, breaks, and limits as an individual. Participants assume all risks of injury as a result of engaging in any activity. Seattle Theatre Group, and its directors, officers, employees, partners and agents are not responsible for any injury sustained by you during the course of any dance activity.

Yes, I understand and agree to the STG Disclaimer waiver terms and conditions.

I hereby understand that Seattle Theatre Group may take photographs and/or video of the student enrolled on this form, and I authorize Seattle Theatre Group to use these photographs and video for archival and publicity purposes.

Please choose one (Required)

Yes, I agreeNo, I want to opt out of any photos or videos of myself or my participants to be included in this program. (this means that STG will NOT be able to use any photos or videos of your student for the final in-class celebration day)

Contact Information