Spring 2021 Class Registration Form

Students Name *

First Name Last Name
Grade *
Parents Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Session 1 Thursday: February 11, 18 & 25

Time - 5:30-6:30PM
Musical Theatre
Students will review areas that are necessary to put on a full Musical Theatre production!

Session 2: February 23, March 2 & 9

Time - 5:30-6:30PM
Music Theory

Students will take an introductory look at Music Theory. This class is intended for beginners who are interested in music.

Session 3: April 1, 8 & 15
Time - 5:30-6:30PM

Class 1: Art Studio
Art studio is an open art time for students to come and create! Students will have access to multiple materials and can work on anything they choose with guidance from an art instructor!

Class 2: Acting
Acting will cover different general acting techniques and styles for beginners to acting.

Session 4: April 13, 20 & 27
Time - 5:30-6:30PM

Class 1: Costuming
Students will spend a few weeks learning the basics of costuming and will work on developing their own characters and looks!

Class 2: Dance
Students will start an introduction to dance, learning skills and terminology to build their foundations.

* Yes, I fully support and approve my child's participation in Authentic Community Theatre, Inc classes and/or productions. I understand and agree to comply and abide by all rules and regulations set by Authentic Community Theatre, Inc.

* Yes, I agree that Authentic Community Theatre, Inc. has my permission to take photographic images and audio and video recording of my child during the program and consent to and authorize Authentic Community Theatre, Inc to use and reproduce any such photographic images and audio and video recordings and to circulate and publicize the same by all means, including but not limited to, newspaper and other print media, television media, brochures, pamphlets, marketing materials, and websites for future advertising.

* Yes, I understand that injuries may occur during participation in this program and that every precaution to secure the safety of its participants will be taken. I assume upon myself the financial responsibility for any and all health care cost included but not limited to, the cost of medication, first aid, x-rays, lab work, hospitalization, and other medical care or service that arises during the program. Additionally, I will not hold Authentic Community Theatre, Inc., its agents, employees and volunteers liable for any claims arising of this activity.

* Yes, In completing this registration I understand that there is a strict no refund policy and authorize Authentic Community Theatre, Inc. to retain the full payment for the program in which I am enrolling.
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Session 1: Musical Theatre $ 50.00
1 Hour Classes from 5:30-6:30 February 11, 18 & 25

Session 2: Music Theory $ 50.00
1 Hour Classes from 5:30-6:30 February 23, March 2 & 9

Session 3: Art Studio $ 50.00
1 Hour Classes from 5:30-6:30 April 1, 8 & 15 *Art Studio is an open art class that students can use provided materials to create with direction*

Session 3: Acting $ 50.00
1 Hour Classes from 5:30-6:30 April 1, 8 & 15

Session 4: Costuming $ 50.00
1 Hour Classes from 5:30-6:30 April 13, 20 & 27

Session 4: Dance $ 50.00
1 Hour Classes from 5:30-6:30 April 13, 20 & 27

Total $ 0.00
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