Grease: The Musical - Senior Production Program Registration Form
Information Pack
PLEASE READ BEFORE REGISTERING
> Grease Information Pack
Participant & Contact Details
Participant Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Participant Email
*
example@example.com
Participant Mobile Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Are there any medical conditions we should be aware of?
Do you require any special needs or accommodations?
Parent/Guardian Details
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship to Participant
*
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Experience & Availability
Previous Performance Experience
Known Schedule Conflicts: Weekly Wednesday Rehearsals
Known Schedule Conflicts: January Intensive (20-24 January 2027)
Known Schedule Conflicts: Tech Week (16–18 March 2027)
Known Schedule Conflicts: Performance Dates (19–21 March 2027)
Permissions & Acknowledgements
Permission for contact details to be added to our student portal (Dance Studio Pro) for communication moving forward
*
Yes, I agree
Agreement to Compulsory Attendance
*
Yes, I understand and agree
Acceptance of Withdrawal & Refund Policy
*
Yes, I understand and accept
Acknowledgement of Adult Themes
*
Yes, I acknowledge and consent
Photo/Video Consent
*
Yes, I consent
No, I do not consent
Acknowledgement of Possible Changes
*
Yes, I acknowledge
Fees & Payment
Program Fee Option
*
Please Select
Option 1: $1,260 upfront (10% discount)
Option 2: Payment plan of $40 per week (over 35 weeks)
Name of Person Responsible for Payment
*
Email for Invoices/Payment Plan Communication
*
example@example.com
Phone Number for Invoices/Payment Plan Communication
*
Please enter a valid phone number.
Format: (000) 000-0000.
Final Confirmation & Signatures
Confirmation of Reading and Understanding of Information Pack
*
Yes, I confirm
No
Signature of Participant
*
Signature of Parent/Guardian (if under 18)
Date of Agreement
*
-
Month
-
Day
Year
Date
Submit Registration
Submit Registration
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