Application to Malenkaya Kompaniya Theater Studio If you have any questions, please call (646) 508-4449 or email alla.markova@gmail.com. Please fill out the application below: Studio Registration First Child Information Child’s full name in English * Child’s full name in Russian * Preferred name Date of birth * School and grade Knowledge of Russian Speaking * Reading * Writing * Second Child Information Child’s full name in English Child’s full name in Russian Preferred name Date of birth School and grade Knowledge of Russian Speaking Reading Writing Parent/Guardian Information Family * both parents are Russian-speaking mixed family non-heritage student please select Parents’ names * Parents’ email * Parents’ cell phones * Emergency Contact * Name and contact information in case of emergency Persons Authorized to Pick Up Child * Name, contact information. and relation to child If your child attends other KidzHOME programs, please name them This is important for calculating discounts Payment method * CashCheckChase QuickpayPay with Zelle Comments Important information about your child that we should know. All information will be kept strictly confidential Signature * By signing this application I permit the organizers to take pictures/videos of my child and publish them in the Malenkaya Kompaniya magazine, on its website and Facebook page, as well as in its publicity materials. reCAPTCHA If you are human, leave this field blank. Submit
