Children on stage dressed in costumes, performing song and dance, with a young girl in a gray blazer speaking into a microphone, audience in foreground, purple background, ages 4 to 9.

Song and Dance Registration

Please complete the registration form below to join our Song and Dance Class this season. Eligible students are ages 4-9 years old. Prior experience is not required for this program. Please ensure that you have added the correct class to your cart and have paid for the program. Your registration will not be completed until both the registration form and the payment is completed.

Primary Contact Name

First Name

Last Name

Primary Phone Number

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Secondary Phone Number

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Phone

(###)

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Student Name

First Name

Last Name

Student Age At Program Start

Student Date of Birth

YYYY

Student Pronouns

Student Allergies

I hereby release Curtain Call Performing Arts Company, its contractors and volunteers from all claims for damages arising from any accident or injury which is caused or arises from participation of the applicant during any program. Permission is hereby granted to Curtain Call Performing Arts Company and its representatives to transport my child to a local doctor or hospital via ambulance for medical treatment if necessary.

I agree

Media Consent; I give permission for photo and video footage that my child may appear in to be used for promotional purposes.

Yes, I give media consent

No, I do not give media consent

Students must attend all mandatory rehearsals, tech week rehearsals and all performances. There will be no exceptions.

I understand

I have reviewed your Terms of Service and Private Policy and agree and understand all that is listed.

I agree

I understand that my registration will not be complete until all registration fees are paid. Full payment is required prior to the first day of class.