Youth Program Enrollment Form
This form will be used by Parents/Guardians to sign up their students into our youth programs for the 2019/2020 season. Please note that payment must also be completed in order to have the student completely enrolled into the programs. Fee includes a Junior Membership to Theatre Aurora.
For any issues, questions or concerns please contact the Youth Coordinator - Jo-Anne - youth@theatreaurora.com
Please select the program: *
Please select the program(s) that your student will be taking.
Student's Name - *
First and Last name please.
Your answer
Student's Date of Birth *
Program ages are as of December 2019.
Your answer
Phone Number *
Your answer
Email Address *
This will be the email used as a main source of communication with the student/parent/guardian
Your answer
Home Address *
Your answer
Parent/Guardian #1 Name *
First and Last name please
Your answer
Parent/Guardian #1 Phone Number *
Your answer
Parent/Guardian #1 Email Address *
Your answer
Parent/Guardian #2 Name *
First and Last name please
Your answer
Parent/Guardian #2 Phone Number *
Your answer
Parent/Guardian #2 Email Address *
Your answer
Emergency Contact Name *
Please have someone other than a parent/guardian, this would be someone we could contact if we can't contact those who are named above.
Your answer
Emergency Contact Phone Number *
First and Last name please
Your answer
Emergency Contact Relationship to the Student *
Your answer
Any Allergies, Medical Information, or Special Accommodations Needed *
Please include any learning disabilities or any mental health related issues that your student may have or have experienced. Note only the Youth Coordinator and Directors of the program have access to this information.
Your answer
Continuous Years with Theatre Aurora *
new or non-continuous members please put this current year.
Your answer
Please indicate which area(s) you either have experience in, or are interested in learning. *
By filling this out it will assist us in planning workshops and lessons.
Theatrical Contract between Theatre Aurora, the Parent/Guardian and Student/Child - please read. *
I hereby agree to ensure that my child/student will arrive on time and be present at all rehearsals and show dates. Conflicts must be communicated to the Youth Coordinator and/or Director at time of registration. Unexcused absences will result in reduction of roles/responsibilities in the production. I hereby understand that it is my duty to ensure that my child/student is picked up from each rehearsal by the end time, and that late pickup may result in an after-care charge. I hereby grant permission for my child to participate in all Theatre Aurora production activities, including photographs, recordings, and public performances, and allow the use of any such materials to be used for promotional, social media, instructional, educational and/or commercial purposes. I hereby agree to help out with this production, as my skills and schedule see fit. This may include, but not limited to, set building, set painting, finding costumes and props, making costumes or props, assisting backstage, being an usher and/or working concession. I hereby release Theatre Aurora from all claims of damage arising from participation of my child/student. I hereby give permission to have staff arrange emergency medical care including transportation if necessary. Attempts will be made to contact parent, guardian or emergency contact first. The child/student is responsible for his/her/their own medical coverage. I hereby consent to receiving emails from Theatre Aurora both in relation to this program, as well as other Theatre Aurora educational opportunities, events, productions, auditions, crew calls, and special offers.
If you have any questions or concerns please list them, or please contact the Youth Coordinator - Jo-Anne - youth@theatreaurora.com
Your answer
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