To register your child for one of our After School or Weekend Programs, please fill out the registration form below as accurately as possible.

If you have any questions, please contact Joey Hunziker at 382-3884 x197 or jhunziker@proctors.org

If you would like to apply for financial assistance, please fill out the form attached and a representative from Proctors will be in touch with you shortly.

PLEASE NOTE: Submission of this form is not confirmation of registration in the program. A representative from Proctors will contact you to confirm your registration and take payment.

Student Name: *

Parent Name: *

School: *

Grade: *

Age: *

Email: *

Phone Number: *

Program Interested in: *

Discover Drama (Sat 10am - 12:30pm)

Media Immersion (Mon/Wed 3:30 − 5:30pm)

Media Immersion (Tue/Thu 3:45 − 5:45pm)

Please list any concerns or questions you may have.