STAGE TO SCREEN HOMESCHOOL CLASSES

Stage to Screen Homeschool Class Registration Form

Registration and Medical Waiver
Student Name

First NameLast Name
Student's age at time of registration
Student's Grade for the 2025-2026 School Year
Which Class(es) is your student enrolling in?
Enrolling Student #2

First NameLast name
Student's age at time of registration
Student's Grade for the 2025-2026 School Year
Which Class(es) is your student enrolling in?
Enrolling Student #3

First NameLast Name
Student's age at time of registration
Student's Grade for the 2025-2026 School Year
Which Class(es) is your student enrolling in?
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email:
example@example.com
Parent/Guardian Phone Number

Area CodePhone Number
Emergency Contact Name

First NameLast Name
Emergency Contact Number

Area CodePhone Number
I hereby grant Stage to Screen Studios, its representatives, employees, and agents, the irrevocable and unrestricted right to take, use, and publish photographs or video recordings of me and/or my child(ren) with respect and discretion for use in marketing for classes and to promote studio programs
MEDICAL WAIVER

By signing this waiver, I, the legal guardian of the student(s) I have registered for Stage to Screen Studio, agree to the following conditions:

I authorize Stage to Screen Studio to contact the persons named as parents or emergency contacts and to authorize emergency services to render such treatment to my child as deemed necessary. I assume full financial responsibility for emergency medical care for the participant while he/she is enrolled in Stage to Screen Studio Classes.

Further, this signed statement certifies that my child is medically cleared to participate in the Stage to Screen Studio and to participate in all activities as described in the camp descriptions while he/she is enrolled in class.
Clicking the box below confirms that you have read the medical waiver, that you understand it, and that you agree to be bound by it.
Name of Parent/Guardian that agrees and adhere to medical waiver

First NameLast Name
Do any of your registering students have any restrictions on activity?
Do any of your registering students have any allergies?
Do any of your students require an EpiPen or other medical device staff should be aware of?
Does your student have any dietary restrictions?
Will any of your registering students need any special assistance while in class?
Is there there anything else you feel we should know health wise about your registering students? Please list any other medical information the instructors should have about your child.
Payment Arrangements & Discounts

Please click all classes you are registering for below. Make sure to enter the correct quantity to ensure each student you are registering is added to our rolls. If you are applying for partial scholarship or making payment arrangements directly do NOT click the product below. Complete all other areas of this registration then submit. Follow up by emailing stagetoscreenstudio@gmail.com to make those arrangements.
DISCOUNT CODES

• First time students with siblings use the code "MULTI" for 10% off

• Returning Stage to Screen Studio students use the code "RETURN" for 5% off

• Returning Stage to Screen Studio students with siblings use the code "MULTIRETURN" for 15% off

Spring Homeschool Theater Arts - Mondays January 19-April 13 1-2:30pm

A full-stage experience! Students rehearse and perform a play while learning acting techniques, stage terms, and dance fundamentals. This semester we will cast, stage, and present the comedy The Poe Play on stage at historic East Bank Theater during. This humorous retelling of classic Poe tales with a modern twist has roles for everyone in both lower and upper school levels.

$225.00 Quantity
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Spring Homeschool Film Class - Thursdays January 22-April 16 1-2pm

Our Homeschool Film Class is a 12 week program for school aged students (K-12) who can read with minimal assistance due to the use of utilizing scripts in class for rehearsal work between students, reading blocking, descriptive directions and context, etc. No prior film experience necessary. This course provides essential to advanced acting training, memorization techniques, character development tools, and scene breakdown skills to be camera ready. Our semester will end with a short film they create.

$175.00 Quantity

Tuition Arrangement (All Classes) - First Payment

We know kids are expensive so we've come up with a system to break up tuition. To save your student’s spot in the spotlight, a $100 deposit is required at registration. This deposit is non-refundable, but don’t worry, it goes straight toward your student's total tuition. The remaining balance takes its final bow on March 1st, so please make sure all payments are completed by then. Have a discount code (sibling, returning student, scholarship… we love them all)? You can absolutely apply it.

$100.00 Quantity

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Payment Methods

Credit Card

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Stage to Screen Homeschool Class Registration Form

Payment Arrangements & Discounts

Payment Methods