Winter Show Participation Form

Participant Registration Form

Please fill the form below in order for current students to participate in our Season Ending Aerial Arts Showcase 2023.

Aerial Arts Student Showcase 2023
Participant Name*

First NameLast Name
Student's Age*
Date of Birth*

MonthDayYear
List All Student's Classes Participating in Performance*

Primary Contact Information
Parent/Guardian Name ( As listed on Jackrabbit)*

First NameLast Name
Mobile Phone*

Area CodePhone Number
E-mail*
Secondary Parent/Guardian's Name (optional)

First NameLast Name
Mobile Phone

Area CodePhone Number
E-mail

Participation Fee $35.00
CONSENT TO CHARGE CREDIT CARD | As the parent or legal guardian of the above-named participant, I hereby give my consent to charge my credit card currently on file in my parent portal (Jackrabbit) I understand this is a one-time fee of $35.00 (single student/family maximum) non-refundable. If student is later unable to participate, parent/guardian acknowledges this fee will not be returned.
Signature

Clear

Signature & Payment
By signing and submitting this registraiton form, you understand and agree to all policies. Once you click "Register" you will be billed for the registration fee on your Jackrabbit account.
Parent/Guardian Signature*

First NameLast Name
Today's Date*

MonthDayYear
Date

MonthDayYear
Date
Should be Empty: