Academy of Theatre Arts 2019/2020 Season Registration Form
*Please make sure email address is up to date and checked frequently. We use a completely electronic system.
Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Age & Birth Date *
Your answer
Address *
Your answer
Mother's Name *
Your answer
Father's Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Emergency Contact *
Your answer
Class Selection (Please check which classes you would like to participate in for the 2019/2020 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.
$55.00 Non-Refundable Deposit Received ($75 per family): *
Required
If paying by Credit Card (Call in card or leave information below)
Credit Card Number
Your answer
Expiration Date
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CVC
Your answer
I would like my card to be on file for monthly billing:
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