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Musical Theater Audition
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Home
Fall and Spring Schedule
Musical Theater Audition
Registration
Reviews
Payments
Media and Events
Store
Support Us
Mission Statement
Contact Us
Musical Theater Registration Form
Student Information
*
Indicates required field
Student Name
*
First
Last
Students Age
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Number
*
Cell Number
*
Email (For Confirmation/Reminders)
*
How did you hear about the Program
*
Friend
Internet
Other
If Other, please explain
*
Contact Information
Parents/Guardian Name
*
First
Last
Home Number
*
Work/Cell Number
*
Emergency Contact Name
*
First
Last
Relationship to Student
*
Emergency Number
*
Alternate Number
*
Medical Information
Does your child have a life-threatening health condition? (See note below)
*
YES
NO
If Yes, please explain
*
Does your child need medication?
*
Yes
No
If Yes, please explain
*
Does your child have any other medical issues of which we need to be aware?
*
Yes
No
Note:Parents/Guardian are responsible for all medication during Meet Ups. VPAC program staff will not be responsible for carrying or administrating any medication. (prescribed, over the counter, including aspirins and/or cough medicine.
Note: Payment Policy
*
I understand the payment policies as indicated. I agree to make payment for the full tuition.
Submit
Home
Fall and Spring Schedule
Musical Theater Audition
Registration
Reviews
Payments
Media and Events
Store
Support Us
Mission Statement
Contact Us
