Academy of Theatre Arts 2020 Summer Registration Form
*Please make sure email address is up to date and checked frequently. We use a completely electronic system.
-$50 deposit must be received in order to hold space in camp.
-Full amount is due by March 1st to receive discount.
-Full amount is due by June 1st or spot will be released.
Student Last Name
Student First Name
Age & Birth Date
Parent/Guardian #1 Name
Parent/Guardian #2 Name (If Applicable)
Emergency Contact Name & Phone # (Must be different from Parent/Guardian)
Camp Selection (Please check which camp session you would like to participate in for the 2020 Season)
Session A: BROADWAY AT ATA July 6th - July 17th 9:00-4:00pm (Ages 12 & up)
Session B: ONSTAGE AT ATA July 20th - July 31st 9:00-4:00pm (Ages 9-11)
Session C: CATCH A RISING STAR August 3rd-7th 9:00-3:00pm (Ages 5-9)
Session D: CATCH A RISING STAR August 10th-14th 9:00-3:00pm (Ages 5-9)
Session E: CATCH A RISING STAR August 17th-21st 9:00-3:00pm (Ages 5-9)
Session F: BROADWAY BABIES August 10th-14th 9:00-12:00pm (Ages 3-4*)
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.
$50.00 Non-Refundable Deposit:
Cash (bring to office or mail)
Check (bring to office or mail)
I would like my final deposit to be...
Billed via Credit Cardfor the final amount on June 1st
Billed via Credit Card for the final amount to receive discount on March 1st
Will bring cash or check for final amount by June 1st
Send invoice for final amount
I am paying in full with my deposit
If paying by Credit Card (Call in card or leave information below)
Credit Card Number
How did you hear about our program?
I am a returning family
Friend or Family Member
WNY Family Magazine
Kids Out & About
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