Show Choir Registration

Please be sure to read the Parent Packet before registering.

Start Date: Tuesday Jan. 12th 4:30pm-6:00pm
@ Amelia Community Theatre 207/209 Cedar St. Fernandina Beach FL 32034

Please fill out the form below. Within one week, you will receive an invoice for Jan. tuition ($110) & Mandatory uniform T-Shirt ($20) via QuickBooks secure pay portal. If you have any questions, please call Elizabeth Clevenger at 256-468-3093.

There are limited spaces available. Your spot is NOT secured until payment has been made.

A parent should be available on the First day of class to sign necessary paperwork.
Sign in to Google to save your progress. Learn more
Student Name(s) *
Student Age(s) *
THIS IS NEW: T-shirt is mandatory and will be a part of the ClevengerCreations uniform to be worn at every rehearsal with black bottoms, jazz shoes, and high ponytail for long hair. Cost is $20 per shirt to be included in initial invoice. Please list the Size and amount of t-shirts you'd like to order. (ex. 1 Youth Large, 2 Adults Smalls, etc.) *
Parent Name *
Billing Address *
Billing Email Address: This email will receive all online invoices and production information. *
Additional Email Addresses: List any email addresses that should also receive production information. Example another parent, grandparent, babysitter etc.
Phone *
List 2 emergency contacts with phone numbers, other than yourself *
List any allergies or other special needs of the student(s) *
List all persons allowed to pick up the student(s): If their name is not on the list, they may not pick up the student unless a written note, text, or e-mail is given. *
I give permission to ClevengerCreations to use the student's image for marketing and or archival purposes. Photos/Videos may be shared on Facebook, Instagram, and all media outlets. *
I will not hold ClevengerCreations, Devin, or Elizabeth Clevenger responsible for any injury OR contraction of COVID-19 that may occur while in care of ClevengerCreations. *
I have read and agree to the 'Parent Packet' *
If new, who referred you to ClevengerCreations?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy