Personal Information

JBY Academy & Performing Arts Conservatory™

nonprofit arts education & academic enrichment
Pre-Registration Form

for new/returning student-artists
Name

First NameLast Name
Cell Number

Area CodePhone Number
Parent's/Guardian's Email (for those under the age of 18/minors)
example@example.com
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Grade in Fall
Gender
Parent's/Guardian's First and Last Name
Parent's/Guardian's Phone number
Primary Performance Art area of Interest
Secondary Performance Art area of interest
Academic Enrichment area of interest
In person Activities of interest
Application Completed by
Parent/Guardian Cell number
Parent/Guardian secondary Email

Can you participate Virtually, In Person, or both
Previous Student-Artist
Interested in Private Coaching/Training
Schedule and details arranged directly with a JBY Academy Teaching-Artist

Identify the Semester you would like to Enroll (note: we are audition-free with a required registration and enrollment process)
Fall Semester
Winter Semester
Spring Semester
Summer Showcase & Festival Season

If you are in need of a full or partial scholarship, please list briefly why below.
Brief reason for financial scholarship
All scholarships will be deducted once received. An email will be sent with remaining balance due.

Please tell us how did you hear about us? We appreciate your time and thank you for submitting your pre-registration form. Someone will be in touch soon with next steps in the registration and enrollment process.
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