Summer Performing Arts Intensive Registration
Register a student for the Summer Performing Arts Intensive and provide parent/guardian, student, scheduling, emergency, preference, and agreement details.
Parent/Guardian Info
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Student Info
Student Full Name
*
First Name
Middle Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Grade in Fall
School
Experience Levels
Singing
*
Beginner
Intermediate
Advanced
Dancing
*
Beginner
Intermediate
Advanced
Acting
*
Beginner
Intermediate
Advanced
Scheduling & Availability
Can the student attend the full 2-week program?
*
Yes
No
If no, which dates are they unavailable?
Permissions & Emergency
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Relationship
*
Please Select
Parent
Guardian
Grandparent
Sibling
Relative
Family Friend
Other
Medical Conditions, Allergies, or Accessibility Needs
Photo/Video Release Consent
*
Yes
No
Program Preferences
Disciplines of Interest
*
Musical Theatre
Acting
Dance
Voice
Technical Theatre
Do you need early drop off (Between 8am-9am) or late pick up (3:15-5pm)? Additional $75/week
Yes
No
How did you hear about the program?
Please Select
FB
EMAIL
OTHER SOCIAL MEDIA
Website search
Flyer or poster
FRIEND
Other
Register
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