Season 10 Registration
Complete this form to register for Super Stars and Shining Stars Programs for Season 10 in 2017-18. After completion of this form you will be asked to pay a $25 registration fee, which will
Program Selection
Please indicate which program you are interested in participating in this season.

SUPER STARS
Saturdays, 10:15 a.m.-12:15 p.m., October- February. 13 weekly sessions/26 hours of direct service and Aladdin KIDS performance in February.
Cost: $400.

SHINING STARS
Saturdays, 9 a.m.-12:15 p.m., October- April. 19 weekly sessions/56 hours of direct service and Aladdin JR performance in April.
Cost: $550.

Program Options
select one
Participant and Parent Information
Please complete all information.
PARTICIPANT First Name
Your answer
PARTICIPANT Last Name
Your answer
Address
Your answer
City
Your answer
Participant Date of Birth
Note: Angels on Stage serves individuals aged 5-22 only (age 22 at the time of registration).
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Age
Note: Angels on Stage serves individuals aged 5-22 only (age 22 at the time of registration).
Your answer
Participant T-shirt Size
Please choose from youth or adult sizes.
Participant's Diagnosis
Your answer
Does participant have a behavior plan?
Angels on Stage provides a high level of service for each Angel participant. If your child has a Behavior Support Plan, it is essential that we have access to it so that we can put strategies in place to support your Angel in being successful in every way. If yes, please be sure to provide the behavior plan to AoS prior to the first Saturday program day. (You may submit a BSP in person or via email to communications@angelsonstage.org.)
Gender
Full Name, Parent/Legal Guardian #1
Your answer
Employed by, Parent/Legal Guardian #1
Your answer
Phone, Parent/Legal Guardian #1
Your answer
Email, Parent/Legal Guardian #1
Your answer
Full Name, Parent/Legal Guardian #2
Your answer
Employed by, Parent/Legal Guardian #2
Your answer
Phone, Parent/Legal Guardian #2
Your answer
Email, Parent/Legal Guardian #2
Your answer
Parent Mailing Address
(If different from participant)
Your answer
Emergency Contact Information
Full Name Emergency contact
Emergency contact CANNOT BE PARENT OR GUARDIAN listed above.
Your answer
Relationship to Angel participant
Your answer
Emergency Contact Phone
Your answer
Participant/Legal Guardian Initials
I ACKNOWLEDGE AND UNDERSTAND that the musical theatre productions will be heavily modified adaptations to the traditional versions that I may be familiar with due to the varying abilities of the PARTICIPANTS of the PROGRAM. Participant's initials (parent/guardian initials if under 18):
Your answer
Participant/Legal Guardian Initials
I ACKNOWLEDGE AND UNDERSTAND that I will not be guaranteed a role of my choosing in an Angels on Stage musical theatre production. I UNDERSTAND that, although every effort will be made to accommodate my wishes for a particular part, I may be given a role that I am unfamiliar with or a different role than the one I was hoping for. Participant's initials (parent/guardian initials if under 18):
Your answer
Participant Signature
(Entering name in this field indicates signer's agreement with statements above.)
Your answer
Parent/Guardian Signature
For The Parents and Guardians of Participant's UNDER 18 years old (Entering name in this field indicates signer's agreement with statements above.):
Your answer
Date
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Parent/Guardian Signature
Angels on Stage relies heavily on volunteer support to deliver and support all programming, and we require families provide a minimum number of volunteer hours per Angel, per season. I ACKNOWLEDGE AND UNDERSTAND that I am required to provide mandatory volunteer hours during the season or pay a buy out fee of $100-$200 by the established deadline, published in our handbook. If the mandatory volunteer hours required for the program your Angel is enrolled in (15 Super Stars, 25 Shining Stars) are not fulfilled by the end of the season, you will be required to pay AoS a fee on top of the buy out fee prior to acceptance into any future AoS program. Parent or Guardian signature required. (Entering name in this field indicates signer's agreement with statements above.):
Your answer
Date
mm/dd/yy
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Parent/Guardian Signature
Program fees for Angels on Stage make up just a fraction of the full cost of program delivery per season. Therefore, we exist only with the support of contributions. A major area of funding for AoS is our Sponsor an Angel/FirstGiving program, which requires families to raise a minimum of $100 per Angel participant. Sponsor an Angel funds represent a significant chunk of our yearly budget and, therefore, participation is required. Failure to raise a minimum of $100 in the Sponsor an Angel campaign may result in placing a future registration application at the bottom of the waiting list in future seasons. I ACKNOWLEDGE AND UNDERSTAND that I am required to raise (or contribute) a minimum of $100 during the season per Angel I have in the program. (Entering name in this field indicates signer's agreement with statements above.):
Your answer
Date
mm/dd/yy
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Payment Preference
Please indicate below how you would like to pay your full registration fees ($400 for Super Stars, $550 for Shining Stars). We will contact you after the close of registration to complete the payment of your program fees, based upon the selection you make below. A $25 registration fee is required to complete your registration, which will be deducted from the final amount due.
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