Alex Theatre Company & Academy: Youth & Children's Theatre Registration Form

Alex Theatre Company & Academy: Youth & Children's Theatre Registration Form
Returning/New student

RenewalNew student
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Place of Birth
Home Language
Gender

MaleFemale
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian's Information
Parent/Guardian's Name - Primary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.
Parent/Guardian's Name - Secondary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.
File Upload

ID Copy, birth certificate,
File Upload

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Health History
If the student have any allergies, please list them down below:
Was the student previously hospitalized or undergo any surgery?
Does the student have any medical conditions that you would like to declare?
Rules & Regulation
Punctuality is of utmost importance at our academy. Please ensure you are on time for all classes and inform us in advance if you are unable to attend. Notification of absence should be provided by phone, text message, or email prior to the scheduled class time. Valid documentation such as a doctor's note or letter from a parent/guardian will be required for any missed classes. To receive your certificate, you must maintain a minimum 75% attendance record.

The required attire for all classes consists of black track pants, black t-shirts, and black Tommy shoes. No smoking, gambling, alcohol, or dangerous weapons are permitted on school grounds. Violation of these rules will result in immediate expulsion from the academy. We require parents and guardians to attend all induction ceremonies and scheduled meetings.

We aim to maintain a professional, safe, and productive learning environment. Please let us know if you have any questions regarding these policies. We look forward to helping you meet your educational goals.

Interview The school will conduct an interview/auditions with the student as part of the selection process.
Application Agreement*
1. Application, by signing this document herby consent to use His/her personal information contained herein and confirms that: The information is supplied herewith is mandatory for the purpose of this agreement and that without such information; Alex Theatre Company & Academy will not enter into agreement with the applicant. 2. The applicant acknowledges that He/she is aware thereof that He/she has the following rights with regards to such personal information which is collected. The right to: *Access to the information in which hereby collected. * Object to the processing of information in which case. this agreement will terminate in accordance with provision contained herein.
Date Signed

MonthDayYear
Date
Parent/Guardian Signature

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Alex Theatre Company & Academy: Youth & Children's Theatre Registration Form

Parent/Guardian's Information

File Upload

Health History

Rules & Regulation