Registration for "Matilda Jr."

Registration NOW OPEN for "Matilda Jr."

REGISTER NOW for the launch of our NEW Rising Star Program! Designed for students ages 4-11, this program gives our younger performers a chance to be in the spotlight. With a low-commitment schedule of just two rehearsals per week and one weekend of shows, the Rising Star Program offers a balanced approach that makes it easy for busy families, while still giving students the opportunity to shine onstage.
Performer's Name:

First NameLast Name
Performer's Age:
Performer's Gender:
Parent / Guardian Name:

First NameLast Name
Parent / Guardian Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address. Please re-type your response for parent/guardian email (we often have misspellings -- also add kids@starperformanceacademy.org to your accepted sender's list).

Confirmation Emailexample@example.com
Other Parent / Guardian Name:

First NameLast Name
Other Parent / Guardian Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Other Parent / Guardian Email:
example@example.com
Please list any physical limitations, special needs, or allergies:
Is there any role you will NOT accept?
MEDIA RELEASE: I grant Star Performance Academy my permission to use any and all photographs taken for any legal use, including but not limited to : publicity, copyright purposes, illustration, advertising, and web content. I also understand these photos may be used on Star Performance Academy’s website, Instagram and Facebook page.
Production Schedule:

Auditions: Thursday October 15th, 6:30-8:30pm

Rehearsals (beginning Saturday October 17th):

Thursdays, 6:30-8:30pm

Saturdays, 1:00-4:00pm

NO REHEARSAL ON: 10/24, 11/26, 11/28

Performances: December 4th-6th (4 performances total)
PLEASE LIST ANY AND ALL CONFLICTS WITH THE REHEARSAL DATES LISTED ABOVE:
Participation Fee for Matilda Jr.

Payment

Registration Fee For Matilda Jr.

$195.00 Quantity

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

*I understand that these rehearsals/performances require physical activity and that injury may occur. I agree not to hold responsible Star Performance Academy, Be3, Airfast Heating & Cooling, Inc., Airfast Home Improvement, Inc., Directors, Instructors, Staff, or Board Members.

*A written consent is required if someone other than the parent or guardian is to pick up or transport the child.

*Parents must arrive within fifteen minutes after the end of a scheduled rehearsal to pick up child.

*Due to limited enrollment, I understand that I am committing my child for the entire rehearsal session and compensation shall become payable to me by reason of such used performances.
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Registration NOW OPEN for "Matilda Jr."

Payment