Registrations | Illinois Extension

Get introduced to the world of acting and
theatre through fun games and activities!
• Tap into creativity
• Become a character
• Grow as an actor

When and where: 1 to 3 p.m. (choose one from two options)

Cost: $5 per youth (Registration required, space may be limited)

Check out the other Arts Week offerings:

Questions: Contact Katie McFarland, 4-H Program Coordinator, ksm@illinois.edu, 630-553-5823

If you need a reasonable accommodation to participate in this program, contact the event organizer (above). Early requests are strongly encouraged to allow sufficient time for meeting your access needs.

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

Please enter PARENT/GUARDIAN FIRST/LAST NAME:

PARENT/GUARDIAN's EMAIL address: Please check your entry for typos, as this will be the main form of communication. Thank you!

Aug. 4 - Yorkville ($5.00)

Aug. 6 - St. Charles ($5.00)

Youth NAME

Youth AGE This workshop is for ages 10 to 18

Youth GRADE LEVEL completed this year

County of residence:

Location of participant University of Illinois Extension wants to ensure that we are presenting programs to a wide range of people. This information will not be used to identify any program participants. It is used to collect data on the impact of our programming.

Is this participant in a 4-H Club currently?

Yes.

No, we are new to 4-H.

No, but siblings are in 4-H.

Please share any information you feel would be helpful for the staff to know, such as any medical concerns, allergies, learning challenges, etc.

If a reasonable accommodation is needed to participate in this program, please request here. We may contact you for more information to help meet access needs.

Photo/video permission: I grant the University of Illinois Extension 4-H Youth Program, irrevocable permission to record and/or disclose my child's identity, image, and voice arising out of documenting 4-H youth programs and to use, reproduce and distribute such in whole or in part in video and/or sound recordings, films, photographs, transparencies, webpages, social media, local news media or any other media for any purpose on behalf of the University and Extension without compensations to me and without any right for me to inspect or approve of the finished photograph, video, or audio recordings or other recordings.

Yes.

No.

How did you learn about this program?

University of Illinois Extension website

Online search engine result

Social media (Facebook, Twitter, etc.)

Media coverage (newspaper, radio, etc.)

From our school (virtual backpack/e-backpack/newsletter)

4-H Update e-newsletter or other 4-H e-communication

Flyer or other handout

At another 4-H event

Other (please list below)

If you chose "other" for the question above:

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race

Refund Policy

No refunds for this program unless it is canceled.

Total Registration Cost $

Intro to Acting Workshop

Contact Information

Civil Rights Compliance - Participant Info