2026 Musical Theatre Intensive Registration Form

3-Week Musical Theatre Intensive Registration 2026

Anastasia
Anastasia

Dates: Intensive Days 6/8-6/26 (M-F, 8:45am-2pm) - Script Rollout 2/19 (4-6pm) - Auditions 4/25 (10am-1pm) - Read Through 6/7 (tbd) - Shows 6/26 (2pm & 7pm)
Performer's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Gender

MaleFemale
Grade Entering
School Attending
Performer's T-Shirt Size (one shirt included with paid registration)*
Choose one
Additional T-Shirts - for yourself, an extra for your performer, or as gifts - may be purchased at the bottom of this form.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.
Texting allowed*

YesNo
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Other's authorized for pick-up:*
list names here or type "none"
Conflicting Dates:
Please list all possible conflicts. If none enter NA. Important dates: Script Roll Out 2/19; Auditions 4/25; Read Through 6/7; Intensive 6/8-6/26 8:45am-2pm; Shows 6/26 2pm & 7pm List Dates*
I would love to volunteer!
Please list any areas you would like to volunteer in (promo, fundraising, costumes, organizing, lunch time supervision, pictures, makeup/hair, back stage parent, etc.)
Medical Information*
List any medical conditions, allergies, limitations, behavioral concerns. If none, enter NA.
Emergency Contact
First Name* Last Name* Phone Number* Relationship to child*

Medical Release - I understand that in the case of an accident requiring medical treatment, I authorize my child to receive such treatment as the attending personnel deem appropriate.
Photo/Media Release

I grant full permission to Flagler Performing Arts Academy to take and use photographs, images, or recordings of my child, listed above, for informational, educational, and publicity purposes in print or online.
Liability Waiver

As the parent or legal guardian of the student listed above, I hereby authorize my child to participate in Flagler Performing Arts Academy's courses and offerings. I agree not to hold the Flagler Performing Arts Academy (FPAA) or persons acting on its behalf responsible for any injuries suffered by my child during activities sponsored by the FPAA, including claims that I or my family might have stemming from negligence of FPAA, its agents, or employees. I hereby waive and release all rights and claims to damage against the FPAA or the facilities being utilized for instruction and events, and agree to indemnify and save and hold harmless FPAA from any loss, liability, damage, or cost that may occur to my child or property.
Cancellation/Refund Policy. We understand life happens and want to be as fair as possible
- On or before 1/1: Refund of paid tuition minus $50
  (Discount periods have ended, initial orders have been placed.)
- Between 1/2-2/1: Refund of paid tuition minus $125
  (Materials and licensing have been purchased.)
- Between 2/2-3/31: Refund of paid tuition minus $225
  (venue reserved, marketing, costumes started, shirts have been ordered.)
- After 3/31: No refunds given
  (Extenuating circumstances, refund amount, if any, will be determined at the discretion of the FPAA Board of Directors.)
This signature is for all waivers, releases, & policies listed on this registration form.*

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