Best of Broadway JR Registration Form

Best of Broadway JR Registration | Summer 2021

Registration Number ____________ (for production team)
3 Step Registration Process

1) Register 2) agree to our COVID 19 safety 3) Pay tuition or make payment
My children and I understand face mask are mandatory at all in person rehearsals [both for dropping off & picking up] and physical distance is to always be always maintained.

Yes
Name (performer)

First Name Last Name
Phone number of performer (if applicable)
Performer email
If applicable
Are you registering with friends or siblings?
If so list name(s)
School Attended (performer)
Please share any health or learning conditions
If none, type none. Please share challenges such as short attention span or hyper activeness. This will help us anticipate and teach accordingly.
Performer skill level?

Absolute Beginner (no previous training) Beginner (1-3 years training) Advance Beginner (3-6 years training) Beginner Intermediate (6-9 years training)Type option 4 Intermediate + (9 plus years training)
Briefly share prior show/ class experience or upload resume below.
Upload resume or past show experience.

Cancel of
Headshot or photo

Cancel of
Conflicts

This program is set to run June 6, through August 22. No conflicts will be accepted during Tech Week August 11 – 18 ALL CAST MANDATORY:and no conflicts will be accepted during performance dates August 19, 20, 21 & 22 ALL CAST MANDATORY.
Please share any vacation dates or out of town trips which will require more than 3 missed rehearsals.
I understand more than three unexcused absences can cause a performer to lose any solos or featured parts they may have. Written conflicts submitted within the first two weeks of the session will be excused.

Yes
North Park Program Days Times & Locations

I understand North Parks classes will be held at Morley Field located at 2600 Jacadranda Pl. 4:30 - 8:00pm Monday, Wednesday & Friday. If our residency at The North Park Recreation Center becomes available our program will be moved there. (5 min. away by car)
General Contact Info

Parent or guardian
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Parent Email
*Required. You will receive program information at this email.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How did you hear about our Workshop?
During rehearsal we'll share videos via our private Facebook group. Are you on Facebook?

Yes No
Emergency Contact
Emergency Contact's Name

First Name Last Name
Relationship
Phone Number *
Please enter a valid phone number.
Waiver of Liability & Photo Release

By signing below I agree and understand that I/my child acknowledge that this is a physical active and inherently involves a small risk of injury. I understand that this activity will involve children's theater-related activities. In consideration for my child’s participation in this activity, I hereby agree to hold T3 Triple Threat Youth Mentors (T3), or any of its affiliates harmless for any injury to myself/my child resulting from me/my child’s participation. I will not sue T3 or any of its affiliates for any injury, loss or property or damage resulting from my child’s participation in this activity.I agree that I/my child am/is expected to follow all rules and instructions set out by the instructors at T3. Additionally I give my permission and understand T3may use any photos and video footage taken for promotional purposes.
Name

First Name Last Name
Date

Month Day Year
Date
Tuition

Your tuition is $360. This can be paid in full or split into 3 payments of $120. First payment is due on or before first audition date. There will be a tuition deadline once cast (July 30).
Payment Method

Credit/Debit Cash Check

Theatre Arts In The Park ( Single Student $360 ) TUITION: The Best Of Broadway JR. In The Park - Summer 2021

$ 360.00

Theatre Arts In The Park (Single Student 3 Monthly Payments) TUITION | PAYMENT PLAN: Theatre Arts In The Park - Winter 2021 (3 payments of $120)

$ 120.00

Total

$ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Name

First Name Last Name
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Best of Broadway JR Registration | Summer 2021

3 Step Registration Process

Conflicts

North Park Program Days Times & Locations

General Contact Info

Emergency Contact

Waiver of Liability & Photo Release

Tuition