2026 Registration
Please note: This form is to be completed in full for each child.
Parent/Guardian Information
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to Student
*
Emergency Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any other Adults/Guardians authorised to Pick Up/Drop Off Student/s
Student Information
Student Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age
Grade in School 2026
*
Please Select
Prep
1
2
3
4
5
6
7
8
9
10
11
12
New or Returning Student?
New Student
Returning Student
Course Selection
Please Select
SPARKS Prep to Grade 3
EMBERS Grade 4 to Grade 7
FLAMES Grade 8 to Grade 12
Terms & Conditions
By attending two (2) or more classes, you acknowledge and agree that you are committed to enrolling for the full term. Full-term fees are payable within fourteen (14) days of the issued invoice. Fees are non-refundable in the event of student absence; refunds will be issued only where a class is cancelled by the Academy.
Yes, I understand
No, I do not agree
Do you permit your child to be photographed or videoed during classes and/or performances and for these images to be used in public spaces (for example print media, websites and social media) to aid in the promotion of Phoenix Arts Academy?
Yes to all
Yes, they can be photographed or filmed, but do not use in public.
No
Do you agree to release Phoenix Arts Academy, including instructors and assistants from liability for any and all injuries that may occur while training, practicing, performing or during any Academy event or activity?
Yes
No
Do you also agree that you are responsible for any medical costs due to injury and grant permission for emergency medical transportation and treatment of your child at your expense, should the need arise?
Yes
No
Today's Date
-
Month
-
Day
Year
Date
Submit
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