2022-2023 Stewarts Creek Choirs Student & Family Registration Form and Contract

Arts Certificate Declaration of Intent

Stewarts Creek Fine Arts Academy
Student Name*

First NameFull Middle NameLast Name
Date of Birth*

MonthDayYear
Date
Anticipated Graduation Year:*
Student Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student RCS Email Address*

Confirmation Emailjdoe1234@student.rcschools.net
Student Personal Email Address*

Confirmation Emailexample@example.com
Student Cell Phone Number (if none, use parent cell)*
Cell Phone Number is:*

Student Cell Phone NumberParent Cell Phone Number
I understand that the number listed in the Student Cell field will be loaded into Remind for purposes of communicating official business/activities of the Stewarts Creek High School Choirs. I am also aware that I may opt of this anytime by texting @LEAVE to the number you are receiving messages from.*

I Understand
Major Focus Area

Arts Certificate
I wish to be considered for the Stewarts Creek Arts Certificate in the following discipline(s):

TheaterVocal Music
By signing below, I acknowledge that this Declaration of Intent is not a guarantee of acceptance into the Certificate Program. I also acknowledge that I have read and understand the requirements, policies, and procedures outlined in the Arts Certificate Requirements document found at CreekFineArts.com.
Student Signature

Clear
Student Signature on this date:*

MonthDayYear
Date
By signing below, I , the parent of {studentName}, have read and understand the requirements, policies, and procedures outlined in the Arts Certificate Requirements document found at CreekFineArts.com and approve of this student's desire to pursue the Stewarts Creek Arts Certificate.
Parent Signature

Clear
Parent Signature on this date:*

MonthDayYear
Date
Should be Empty:

Arts Certificate Declaration of Intent

Major Focus Area