Student Registration form

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Date/ Fecha *

YYYY

Students first name/ nombre del estudiante *

Student last name/ Apellido del estudiante *

Date of Birth/ Fecha de nacimiento *

YYYY

Age/ Edad

Gender/Género *

male/ Masculino

female/ femenino

Other:

Parent or Gaurdian Name/ Nombre del padre, madre o tutor *

Relationship to student/ Relación con el estudiante *

Phone number/ numbero de telefono *

Email Adress/ correo electronico *

Emergency contact/ contacto de emergencia *

Emergency contact phone/ Teléfono de contacto de emergencia *

Relation to student/ relacion con estudiante *

The scholarship includes only the Academy's three core classes:Acting, Jazz, Voice Any additional classes (such as Ballet, Hip Hop, Tap, Acro, Musical Theatre, or other Academy offerings) are not covered by the scholarship and will be charged at the current tuition rate. If you wish add an extra class check the box.

La beca incluye únicamente las tres clases principales de la Academia:Actuación Jazz Canto Cualquier otra clase adicional (como Ballet, Hip Hop, Tap, Acrobacia, Teatro Musical u otros programas de la Academia) no está incluida en la beca y tendrá el costo regular de la colegiatura vigente. Si gustaria añadir otra clase marque la caja.

Acting- Mondays (5pm-6pm)

Jazz- Mondays (6pm-7pm)

Ballet I (5-9 yrs) - Tuesdays (5pm-6pm)

Ballet II (10-15 yrs or pre-approved) - Tuesdays (6pm-7pm)

Vocal - Wednesdays (5pm-6pm)

Hip Hop - Wednesdays (6pm-7pm)

Required

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