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fall 2019 Registration Form

Student's Name *
Student's Name
Student's Cell Phone Number
Student's Cell Phone Number
If your student should be included on class information and updates via text message or phone call, please enter your student's cell phone number here. Otherwise, please leave this field blank.
Parent/Guardian Name *
Parent/Guardian Name
Please enter a parent or guardian's name if the student is under 19 years old and/or has not graduated high school. Otherwise, please enter an emergency contact name.
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Please enter a parent or guardian's phone number if the student is under 19 years old and/or has not graduated high school. Otherwise, please enter an emergency contact phone number.
Second Parent/Guardian Name
Second Parent/Guardian Name
Second Parent/Guardian Phone Number
Second Parent/Guardian Phone Number
Emergency Contact Name *
Emergency Contact Name
Please enter a name and phone number for someone (besides yourself or the second parent/guardian) whom we may also contact regarding student information or pick-up in case of an emergency.
Emergency Contact Phone Number *
Emergency Contact Phone Number
Student's Home Address *
Student's Home Address
Please enter the student's address here.
Who is authorized to pick up your student from class?
Who is authorized to pick up your student from class?
Please list names of ALL people besides you, the second parent/guardian, and the emergency contact who may sign your student out at the end of class. We cannot release your student under age 18 to anyone who is not listed here.
In what class(es) will your student be enrolling? *
The full tuition or the minimum deposit amount for each class (published on the class website) must be made before we can hold a spot in a class for your student. If you have made special arrangements with the Director, please enter "Special" in the box below.
In order for us to plan for the semester and hire teachers, minimum class enrollment must be met, with a paid deposit or full tuition, by the deadline of ten full days prior to the first class session or the class may be cancelled. In most cases, a class that has reached minimum enrollment ten full days before the first class session will continue to enroll students through the second class session in the semester, as long as space is still available.
Periodic installment payments for class tuition is available to all students in good financial standing with The ACT, upon signing an installment payment agreement at the beginning of each semester. Deadlines for installment payments vary between classes and are published on the individual class web pages. It is the student’s responsibility to note these deadlines and to make subsequent payments on time and in full. No student may begin attending classes without having either tuition paid in full or a paid deposit with an installment payment agreement on file at the beginning of each semester.
All class withdrawal requests must be sent via email to the Director of Education at smccarthy@getintotheact.org in order to be processed.
Any unpaid balance on a student's account may affect future enrollment in classes and camps, as well as participation in productions at The ACT.
If a class is cancelled due to low enrollment, students enrolled in the cancelled class may opt to transfer to another class or may request a full refund. Any increase in tuition that occurs as the result of a class transfer is the responsibility of the student.
How did you hear about our theatre classes? (please select all that apply) *