Student Registration Form

1
Student Full Name* This field is required.
First Name
Last Name
2
School Name* This field is required.
3
Student Grade Level* This field is required.
Please Select
Please Select
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Other
for Incoming A.Y. '12-'13
4
Do you [student] have any special needs or disabilities ? (For example: Dyslexia, Dysgraphia, Autism, ADHD, Down Syndrome, CP etc)* This field is required.
5
If you answered yes to having special needs or a disability, do you need any accommodations?
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Ok
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Parent/Guardian Name* This field is required.
First Name
Last Name
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Parent/Guardian Email* This field is required.
example@example.com
8
Parent/Guardian Phone Number* This field is required.
9
Present Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
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Other
Country
10
Where did you hear about The Penguin Project?
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Other Productions You Have Been A Part Of* This field is required.You may add as much information you like. Box will expand for your information. Write NA if this is your first production. Please list roles this way: 2017 The Lion King, Simba 2018 Mary Poppins, Bert
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Photo Release* This field is required.As a participant in Rise Up Arts, or as the parent or legal guardian of a participant in Rise Up Arts, I hereby give my permission to publish photos of myself or my child, respectively, in both print and electronic publicity materials for Rise Up Arts. We try not to post full names of students with their picture. Usually only First Name.
Yes, you may use our photos
No, Photo release denied
13
Do you have any regularly scheduled conflicts?For Example: dance Wednesdays 7-7:45
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Ok
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Actor Responsibility Agreement* This field is required.This is an agreement between Rise Up Arts,(RUA) and the volunteer actor named above. RUA requests that each cast member fulfill certain responsibilities (listed below). These responsibilities must be upheld for this contract to remain valid. Failure to uphold any of the responsibilities or the Rise Up Arts’ Code of Conduct will result in dismissal from the cast. RUA reserves the right to terminate this contract and your role in the production at any time. For students a $35/student, $55 2 students or $65 Family cap tuition fee. RUA scholarships are available for those unable to pay the participation fee. Provide your own performance shoes if needed (character shoes, tap shoes, ballet slippers, etc). You will receive instructions from the director, choreographer and costume designer as to the shoe requirements for this production. Respect the costumes and props assigned you; leave other costumes and props alone. Respect the property of Rise Up Arts, leased buildings, and their employees. Notify the Stage Manager or Executive Director/Producer of all known schedule conflicts by the first rehearsal. Notify the Stage Manager or Executive Director/Producer of all last minute changes and conflicts in the schedule. No more than three unexcused absences are allowed. Memorize all lines and blocking according to deadlines set by the production staff. Report to all assigned rehearsals and performance calls on time. Sign-in with the Stage Manager before each scheduled performance. Work to foster an environment of harmony amongst fellow cast members and staff. Report any inappropriate/uncomfortable situations to an Artistic Staff or a Board Member immediately. Report problems and conflicts outside the range of staff ability to the Board of Trustees. Consume food and beverages at rehearsals and performances in specified areas. Leave your valuables at home, RUA is not responsible for any lost or stolen items. All personal insurance coverage for rehearsals and performances is the responsibility of the actor. Abide by the direction of the production staff assuming the direction is appropriate for a volunteer actor. Abide by the copyrights held by the rental house, which includes no videotaping of the performances.
Yes
No
15
Bio For PlaybillGive a little info about yourself, your hobbies, prior productions or something fun.
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Please verify that you are human* This field is required.
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