SRYT Registration/Enrollment Form

RIVERSTAGE/SRYT - REGISTRATION FORM 2023-2024
BOX OFFICE: 201-825-8805

Website: sryt.info Email: srytheatre@aol.com
SEASON:
EMAIL:
example@example.com
PROGRAM NAME:
TODAY'S DATE:

MonthDayYear
Date
PARENTS' NAMES:
STUDENT'S NAME:
STUDENT'S AGE AND GRADE:
COMPLETE MAILING ADDRESS WITH ZIP CODE:
HOME PHONE & CELLPHONE:
EMERGENCY CONTACT NAME AND PHONE NUMBER:
PARENT'S EMAIL (Mandatory):
example@example.com
I will allow my child's PICTURE and FIRST NAME to be used on SRYT's website, online, printed & press -and- he/she is allowed to video-conference with SRYT Teachers. (Yes/No)
GENERAL INFORMATION: (continue on back of this form)
Where did you hear about our program?
Has your child had past experience with other theater or dance schools?
if Yes, please list:
Do you allow your child to take Children's Tylenol?
THE FOLLOWING INFORMATION WILL BE KEPT CONFIDENTIAL AND HELPS SRYT TO UNDERSTAND, AND WORK WITH PARENTS TO MEET, THE NEEDS OF THE INDIVIDUAL CHILD.
Does your child have any medical conditions we should be aware of? Also , please list any emotional, learning or physical issues we should be aware of.
Are there any domestic or social issues we should be aware of? (divorce, death in family, bullying)
Please list scheduling conflicts: LIST ONLY SHOW CONFLICTS & REHEARSAL ABSENCES - IF YOUR CHILD CANNOT ATTEND THEIR OWN REHEARSAL-- THEY SHOULD ATTEND ANOTHER CAST'S REHEARSAL TIME. CAST REQUESTS MAY BE LISTED HERE BUT CANNOT BE GUARANTEED.
SRYT GUIDELINES AGREEMENT: Auditions are for character placement only--every student gets a part. Your child will be asked to sign a Student Contract that states they will accept any part from the list of guaranteed parts on their contract. They will also agree to learning their lines, songs and dance steps by the due dates given out by the Directors. (There is no refund of tuition after this audition. Please explain this to your child before they proceed with the audition. Refunded tuitions are only given out in the event of illness not catastrophic events such as coronavirus/disaster. In the case of catastrophic events, the workshop fee will be credited towards a future program within the calendar year.

I have thoroughly read the SRYT GUIDELINES for 2023-2024 and agree to the Rules and Regulations mentioned therein as terms of my child's acceptance in the program. I understand that SRYT is not responsible for any injury that may result from my child attending an SRYT rehearsal or show. I understand that there is no refund of tuition after the audition date. I agree to these GUIDELINES and TERMS by signing and dating below:
Parent/Guardian Signature:

Clear
Date:

MonthDayYear
Date
We accept CASH, PERSONAL CHECK, VISA, MASTERCARD & AMEX.

We offer two choices in how you can make a payment: you can either

use the PayPal form on this webpage or you can arrange to give our

Box Office your card information over the phone: 201-825-8805.
I hereby give permission to SRYT, Inc. to proceed with emergency treatment for my child in the event of accident or illness in the event the family or emergency contact cannot be reached. Please check Option 1 - YES, I AGREE

I agree.I do not agree.
Should be Empty:

RIVERSTAGE/SRYT - REGISTRATION FORM 2023-2024

BOX OFFICE: 201-825-8805