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Application 2019/Aplicacion 2019

Name/ Nombre *
Name/ Nombre
Date of Birth/ Fecha de Nacimiento *
Date of Birth/ Fecha de Nacimiento
Phone/ Telefono *
Phone/ Telefono
Address/ Direccion *
Address/ Direccion
Parent or Guardian's Name/ Nombre del padre o tutor *
Parent or Guardian's Name/ Nombre del padre o tutor
Parent or Guardian's Phone Number/ Numero telefonico del padre o tutor *
Parent or Guardian's Phone Number/ Numero telefonico del padre o tutor
Emergency Contact/ Numero en caso de emergencia *
Emergency Contact/ Numero en caso de emergencia

Please mail payment to the address below/Favor de mandar el pago a la direccion de abajo.

If you're unable to use the form above, please email to: info@theimaginists.org or mail to:
Si no puedes usar la forma de arriba, favor de enviar un correo electronico info@theimaginists.org o a la direccion de abajo:

The Imaginists
c/o Amy Pinto, Artistic Director
461 Sebastopol Ave.
Santa Rosa, CA 95401

The Imaginists are a nationally recognized performing arts organization whose mission is to completely re-think theater; who participates, where it happens and what it is. We create new works, community performance projects and re-imagine classics. We have been supported by awards from the National Endowment of the Arts, the James Irvine Foundation, Theater Bay Area, Network of Ensemble Theaters, Center for International Theater Development and the Hewlett Foundation.

Los Imaginistas son una organizacion reconocida a nivel nacional de artes escenicas cuya mision es reinventar completamente el teatro; quien participa, donde pasa y que pasa. Nosotros creamos nuevos trabajos, projectos de desempeno comunitario y reimaginamos los clasicos. Nosotros hemos sido apoyados por premios por parte de Endowment of the Arts, the James Irvine Foundation, Theater Bay Area, Network of Ensemble Theaters, Center for International Theater Development and the Hewlett Foundation.


The Imaginists
461 Sebastopol Avenue  |  Santa Rosa  |  CA  |  95401  |  info@theimaginists.org  |  (707) 528-7554

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