PERFORMING ARTS 5678 2024-2025 Registration

The 2024-2025 season will begin Sunday, September 15th.

Classes conclude with the recital on May 10, 2025.

STUDENT NAME (As it should be printed in the program.)*

First NameLast Name

Does the student have a nickname they prefer to be called?

Age of student (as of September 15, 2024)? *

Grade of student during 2024-2025 school year? *

Is the student...*

FemaleMaleNonbinary

Parent/Guardian e-mail (Correspondence will be made via e-mail. Provide an e-mail address that you check regularly and be sure you add performingarts5678@gmail.com to your contacts.) You may enter more than one email here if more guardians want to be included in correspondence. *

example@example.com

Parent/Guardian Name*

First NameLast Name

Primary Parent/Guardian Cell Number*

Area CodePhone Number

Second Parent/Guardian Cell Number

Area CodePhone Number

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student personal e-mail (not required, a but great way to share class info. & rehearsal videos for practicing. Please note: School emails usually do not allow outside correspondence.)

example@example.com

Student Cell Number (not required)

Area CodePhone Number

VOLUNTEERING: If you are a returning 7th - 12th grade student, would you be interested in assisting with younger classes? You would receive 40 volunteer hours at the end of the season, wonderful for National Honors Society, college, & scholarship applications.*

Yes (Please contact me about opportunities, and if my schedule allows, I would love to! By selecting this box it indicates interest, it does not confirm a commitment.)No (I can not commit to volunteering.)My student is too young, but I love this idea because giving students leadership opportunities fosters immense personal growth.

Enrollment in the proper level class is important. If you have questions, please call/text (646) 221-3150.

Some classes have pre-requisites, which you can view here: SCHEDULE

For information on tuition, costumes, & recital fees visit: TUTION & PRICING

View Class Descriptions: HERE

Classes require minimum enrollment to run. Enrolling in the proper level class is important. If a student does not acclimate into a particular class, or if a class has low enrollment and cannot run, PA5678 reserves the right to recommend a different class. If the alternate class(es) do not fit your schedule, you will receive a full refund.*

I understand

SUNDAYS

8:00am - 9:00am (9th - 12th Grade) Ballet/Jazz9:00am - 10:00am (9th - 12th Grade) Tap [WAITLIST ONLY]10:00am - 12:30pm (5th - 7th Grade) "MT Company Jr" [MT, Acting, Jazz, Ballet] [WAITLIST ONLY]12:30pm - 1:15pm (2nd - 5th) Acting Improv [WAITLIST ONLY]

MONDAYS

3:30pm - 5:00pm (K- 2nd Grade) "Broadway Babies" [Tap, Ballet, Musical Theatre] [WAITLIST ONLY]4:15pm - 6:15pm (3rd - 5th Grade) "Rising Stars" [Musical Theatre, Ballet, Tap, Jazz] [WAITLIST ONLY]6:15pm - 7:00pm (5th - 10th Grade) Beginner Jazz [WAITLIST ONLY]

TUESDAYS

4:00pm - 6:00pm (4th - 6th Grade) "Triple Threats" [Ballet, Tap, Jazz] [WAITLIST ONLY]6:00pm - 7:00pm (9th - 12th Grade) Broadway Jazz* [WAITLIST ONLY] [Note: Girls should have TAN character shoes: (Amazon) Theatricals Womens EZ Flex 2" Heel Flexible Character Shoe] LINK: https://a.co/d/aQUugYK7:00pm - 8:00pm (9th - 12th Grade) Musical Theatre Company [WAITLIST ONLY]8:00pm - 8:45pm (6th - 10th Grade) Beginner Tap [WAITLIST ONLY]

WEDNESDAY (HIP-HOP)

3:30pm - 4:15pm (K - 2nd Grade) Hip-Hop4:15pm - 5:15pm (5th - 7th Grade) Hip-Hop [WAITLIST ONLY - People on the waitlist will be offered a spot in order of the waitlist. No charge unless a spot opens up.]5:15pm - 6:15pm (3rd - 5th Grade) Hip-Hop [WAITLIST ONLY]6:15pm - 7:15pm (8th - 11th Grade) Hip-Hop [WAITLIST ONLY]

THURSDAYS

3:30pm - 5:30pm (5th - 7th Grade) "MT Company Jr" [Ballet, Tap, B'way Jazz] [WAITLIST ONLY]5:30pm - 6:30pm (5th - 10th Grade) Musical Theatre [WAITLIST ONLY]6:30pm - 7:30pm (8th - 12th Grade) Intermediate Ballet/Jazz [WAITLIST ONLY]

FRIDAYS

4:00pm - 5:45pm (4th - 6th Grade) "Triple Threat" [Musical Theatre, Ballet, Jazz] [WAITLIST ONLY]

SATURDAYS

8:15am - 9:00am (4 1/2 yr - 6 yr) Ballet & Tap9:00am - 10:45am (2nd - 4th Grade) Ballet, Tap, Jazz [WAITLIST ONLY]10:45am - 1130am (2nd - 5th Grade) Musical Theatre11:15am - 12:15pm (6th - 10th Grade) Musical Theatre [WAITLIST ONLY - People on the waitlist will be offered a spot in order of the waitlist. No charge unless a spot opens up.]12:15pm - 1:15pm (6th - 9th Grade) Ballet & Tap [WAITLIST ONLY]1:15pm - 2:15pm (6th - 9th Grade) Jazz [WAITLIST ONLY]

CHOOSE A PAYMENT OPTION*

Prepaid Yearly Tuition - 1 time payment in full, WAIVED $40 Administration FeeSemi-Yearly Tuition - 2 payments, twice a year; 50% due upon enrollment and 50% due on January 8, 2024; Administration Fee DISCOUNTED to $30.September/October Deposit & Tuition Installment Plan (6 monthly payments made November-April) - spreads out the cost of yearly tuition. Payment is due on the 1st of each month. September/October payments and costume deposits are due upon enrollment. The remainder of yearly tuition is divided up, with monthly payments November - April. Please note: Payment is not for the number of classes each month. You are paying equal increments towards the total tuition due for the full season. (If payments are late, after two late payments, the remaining balance will be due on the 1st of the next month.) Administrative Fee: $40

CHOOSE A PAYMENT METHOD*

CHECK (Payable to: Performing Arts 5678)CASH (Text 646-221-3150 to arrange payment)ZELLE (use email: performingarts5678@gmail.com & phone: 646-221-3150. Name on Account: Jessica Lombardo) *If you choose Zelle, be sure to enter the CORRECT information, or your payment will not be received. Performing Arts 5678 is not responsible for "lost" payments due to typos or other Zelle errors.

SHOES & ATTIRE: It is important everyone dress appropriately. DANCE: Students should wear appropriate dance clothes and dance shoes. MUSICAL THEATRE: Dance clothes or leggings/tank-tops, jazz shoes. ACTING: Any attire that's easy to move in.*

I understand. ATTIRE: I understand the importance of "dressing the part," and acknowledge that everyone has improved focus, posture, and overall demeanor and work ethic when dressed appropriately. ANY color/style of dance clothes is okay. SHOES: I understand that dance shoes should NOT be worn outdoors, and students should arrive in "street" shoes and change into their dance shoes upon arrival. On our website, under "Class Descriptions", specific shoes are listed. (Just as students would never show up to swimming lessons without a bathing suit, please be sure students have appropriate attire for their PA5678 classes.)

MEDICAL WAIVER & COVID INFORMATION:

COVID INFORMATION: Performing Arts 5678 follows the rules and guidelines set forth by the state of NJ. As NJ adjusts rules, regulations, and guidelines, Performing Arts 5678 will adjust accordingly.

MEDICAL WAIVER: I, the legal guardian of the student(s), have registered at Performing Arts 5678, agree to the following conditions: I recognize that participation in programs may occassionaly lead to injury. I authorize Performing Arts 5678 to contact the persons named as guardians and to authorize a physician to render treatment to my child as deemed necessary. I assume full financial responsibility for medical care for the participant while he/she is enrolled in Performing Arts 5678.

I, for myself and behalf of my student participant, also release waive and discharge Performing Arts 5678, all of its affiliates and related entities, and its officers, employees and representatives and their estates and/or heirs, from any and all claims which we may have for damages to property, personal injuries, medical situations or death as a result of participating in the programs sponsored by Performing Arts 5678. This releases and waives all claims which have happened and/or may happen as a result of participating in programming associated with Performing Arts 5678.

Health History

	Explain.
Please list any information the instructors should have about your child.

Have you read the above information and agree with all its terms and conditions?*

I agree

Name of Parent/Guardian that agrees and adhere to medical waiver*

First NameLast Name

Signature*

PHOTO & VIDEO RELEASE I, the legal guardian of the student(s) I have registered at Performing Arts 5678, agree to the following conditions: I grant permission for photographs and/or video to be taken during class, rehearsals, and/or performance(s). Photos and/or Videos may be used for advertising and/or social media. I understand that if I do not wish to have my child's picture taken, I will email: performingarts5678@gmail.com

BODILY INJURY RELEASE Student and his/her/they heirs, distributes, guardians, legal representatives, and assigns HEREBY WAIVE ANY AND ALL RIGHTS, LIABILITY, DAMAGES AND/OR CLAIMS AGAINST THE RELEASED PARTIES FOR BODILY INJURY OR PROPERTY DAMAGE WHICH MAY OCCUR DURING CLASS, REHEARSAL, AND/OR PERFORMANCE, AND HEREBY RELEASE AND FOREVER DISCHARGE THE RELEASED PARTIES, AND EACH OF THE FROM ALL CLAIMS ACTIONS, DEMANDS, RIGHTS, CAUSES OF ACTION AND LIABILITIES, EITHER BY LAW OR IN EQUITY, based on bodily injury or property damage to Student or any third party as a consequence of Student's participation in class, rehearsals, or performances, or as a result of negligence (orginary or gross negligence) by PERFORMING ARTS 5678. Student hereby agrees that it will never bring any legal action against PERFORMING ARTS 5678.

REFUND POLICY Prorated Tuition refunds will be issued after the first class, in the event that a student cannot continue. Refunds must be requested in writing, via email, no later than September 25, 2024. Refunds will be made in the form of a check. If costumes have not been ordered, costume deposits will also be refunded. Once costumes are ordered, costume costs are non-refundable. If you would like a refund prior to classes beginning, you must request via email. Cancellation requests must be made no later than August 25, 2023. Registration and Administrative fees are non-refundable. Email: performingarts5678@gmail.com

Clicking the box below confirms that you have read the Photo & Video Release, Bodily Injury Release, and Refund Policy that you understand it, and that you agree to be bound by it.*

I agree

Name of Parent/Guardian that agrees and adhere to Photo & Video Release, Bodily Injury Release, and Refund Policy*

First NameLast Name

Signature

How did you hear about us?*

Help us get to know our students! If the student has previous training from other studios outside of PA5678, please explain below... Anything else we should know?

Performing Arts 5678 2024-2025 Registration Form