Academy of Theatre Arts 2021/2022 Season Registration Form
*Please make sure email address is up to date and checked frequently. We use a completely electronic system.
Email *
Student Last Name *
Student First Name *
Age & Birth Date *
Address *
Parent #1 Name *
Parent #2 Name *
Email Address *
Phone Number *
Emergency Contact *
Class Selection (Please check which classes you would like to participate in for the 2021/2022 Season) *
PARENTAL CONSENT:I agree by checking to follow all policies and procedures set forth by Academy of Theatre Arts. I accept the responsibility of reading and following all information communicated by the Academy. I further accept all responsibility of any potential risk associated with participating in a theatre class, and affirm that I have and will provide proper health insurance for my child’s protection. I give permission for emergency medical treatment of my child if a parent cannot be contacted. I hereby grant permission for my child to be photographed by Academy of Theatre Arts for publicity and/or production purposes.
$55.00 Non-Refundable Registration Fee Received ($75 per family): *
If paying by Credit Card (Call in card or leave information below)
Credit Card Number
Expiration Date
I would like my card to be on file for monthly billing:
Clear selection
Never submit passwords through Google Forms.
This form was created inside of Academy of Theatre Arts. Report Abuse