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.
Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Age & Birth Date *
Your answer
Address *
Your answer
Parent/Guardian #1 Name *
Your answer
Parent/Guardian #2 Name (If Applicable)
Your answer
Phone Number *
Your answer
Emergency Contact Name & Phone # (Must be different from Parent/Guardian) *
Your answer
Camp Selection (Please check which camp session you would like to participate in for the 2020 Season) *
Required
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: *
Required
I would like my final deposit to be... *
If paying by Credit Card (Call in card or leave information below)
Credit Card Number
Your answer
Expiration Date
Your answer
CVC
Your answer
How did you hear about our program?
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