The Claw: A New Children's Musical Registration
Please complete the form below to register for the upcoming production
Actor's Full Name
*
First Name
Last Name
Parent/Guardian 1 Full Name
*
First Name
Last Name
Parent/Guardian 1 Email Address
*
example@example.com
Parent/Guardian 2 Full Name (optional)
First Name
Last Name
Parent/Guardian 2 Email Address
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Actor Age
*
Actor's Grade
*
Actor's School
*
Emergency Contact if you cannot be reached (name and number)
*
Does the actor have any allergies (i.e. food, insect, asthma, etc.), medical conditions (i.e. epilepsy, diabetes, etc.), or mental health conditions (i.e. generalized anxiety, etc.)? If yes, please provide details including symptoms and treatment procedures.
Does the actor have any special needs or require any accommodations? We will follow up with you to ensure your child's needs can be met.
Actor's T-Shirt Size
*
YS
YM
YL
AS
AM
AL
AXL
2XL
Other
Photo/Video Consent
ACT may take pictures or videos of the actors to use in newspaper articles, on the ACT website, on ACT social media pages or in brochures. ACT will film the final production to save for archival purposes.
Consent
*
I hereby consent that my child's likeness may be used by A Children’s Theatre of the Mesilla Valley in whatever way they desire for future promotional pieces. Furthermore, I hereby consent that all photographs shall be the sole property of A Children’s Theatre of the Mesilla Valley, including the right to duplicate and reproduce the images as they desire free and clear of any claim on my part. This authorization will remain in effect until revoked by me in writing.
I do not consent to my child's likeness being used by A Children's Theatre of the Mesilla Valley.
Other
Payment Options
Full Registration for regular ACT productions (all but summer musical) is $175. Partial or full scholarships are available (limited spots), select option below.
Please select
*
I will pay in full now (processing fee of $5.84 will be added)
I pay by check or cash by the first day of rehearsal
I would like to request a payment plan or a delayed payment due date
I would like to apply for a scholarship (full or partial)
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Registration
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Pay by check or cash
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I will mail a check, made payable to ACT to: PO Box 1792, Las Cruces, NM 88004. Check must be received prior to first day of rehearsal.
I will bring a check or cash to the first day of rehearsal. For cash, please bring exact change in a sealed envelope with actor's name on it.
Other
Please describe what payment plan you propose. We will contact you to confirm details. Please note that final amount must be paid before the first day of tech week (Monday of performance week). Link to online payment portal will be sent to you.
*
Mikey Kingsley Scholarship Application
ACT is pleased to offer scholarships from the Mikey Kingsley Scholarship Fund, an actor with ACT from 1994 until 2002. In 2003 he became one of our young directors, participating in several seasons. We will always remember the joyful vitality Mikey brought to our stage. We strive to approve as many applications as we can, but depending on the number of requests we may not always be able to. If you are requesting a full scholarship, we may only be able to offer a partial one. Please complete the questions below and we will let you know if you are approved.
How did you find out about ACT?
*
Have you been a part of previous ACT productions? Is so please list them.
*
Have you participated in any other theatre experiences?
*
What do you hope to gain from participation in an ACT production?
*
The actor has previously received a scholarhisp for an ACT Production
*
Yes, if more applications are received than funds are available we may limit scholarships to one per child, per ACT Season.
No
Other
The actor's (immediate) family is a current or former member of the US Military
Yes (eligible for a full scholarship)
No
Please indicate which scholarship option below.
*
I am requesting a partial scholarship (I will pay $75)
I am requesting a full scholarship, if more applications are received than funds are available we may offer everyone a partial scholarship
Other
Statements of Understanding (must check all)
*
I understand that my child may only be eligible for one scholarship per ACT season.
I understand that I will be sent an email once registration closes to notify me of the decision.
I understand I must respond to the email accepting the scholarship by the deadline provided or I may forfeit the scholarship.
I agree to sign-up for at least one volunteer slot for the production, if I fail to do so I will forfeit the scholarship.
I understand that if I fail to show up for my volunteer slot my child will not be eligible for another ACT scholarship.
Any final questions or comments to share with ACT regarding your registration.
Register
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