Teen Nation Application Form

Teen Nation Registration Form

"*" indicates required fields

Teen Nation Application

Aurora Theatre, as a critically acclaimed professional theatre, is launching a semester long intensive. Working closely with fine arts programs in the Gwinnett school system, Aurora's professional staff wants your child to have the critical tools they need to be accepted into the elite arts programs in Gwinnett County as well as potential renown college and universities. Aurora ensures that every child is learning the skills needed to SOAR in high school, while learning leadership skills, kindness, confidence, and most of all, Aurora promises your student will have FUN!

Student Information

Name*

First Last

School/Educational Program*

Age*

Student Phone

Student Email

What do you hope to gain from Teen Nation?*

What is your theatre experience thus far? (Have you participated in, seen, or always wanted to see any theatre?)*

Tell us an interesting fact about yourself that you don't mind sharing.

What areas of theatre interest you? Select all that apply.*

You can press ctrl when clicking multiple interests to make sure they stay selected.

Which Teen Nation track are you applying for?*

Both choices are open to 6th-12th grade. Cost listed is per semester.

Contact & Billing Info

Parent/Guardian Name*

First Last

Parent/Guardian Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent/Guardian Phone*

Parent/Guardian Email*

Card Number*

Expiration Date*

CVV Code*

Zip Code*

By checking this box, I give Aurora Theatre permission to charge my card for this student's Teen Nation Membership. I understand that this is a non-refundable purchase.*

Yes

Yes! Please keep my card on file for future purchases.

Yes

Aurora Theatre is a member of the Atlanta Tessitura Network, a multi-organization database. Details of your account are securely hosted by Adyen and only the last four digits of your card are visible online or within our database. When you elect to save your payment method with Aurora Theatre, it will also be accessible to you when you visit other member organizations of the Atlanta Tessitura Network.