REGISTRATION: ACTING CLASS WINTER 2023

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We are excited to have you join us.

BE SURE TO CLICK SUBMIT BUTTON AT THE BOTTOM OF THIS FORM or YOUR REGISTRATION WILL NOT BE RECEIVED!

Thank you for your support!

Student First Name *

Student Last Name *

Grade Level *

Pronouns

Parent Full Name *

Parent's Email - IMPORTANT: All future correspondence will be directed to this email. Please double check correct entry of this email address. Thank you! *

Cell Number (This should be your emergency contact number.) *

PREFERRED PAYMENT METHOD: *

CHECK - Please mail to Broadway Arts Collective, PO Box 154, New Paltz, NY 12561

CREDIT CARD - You will be invoiced which will include a 3% credit card processing fee.

Name of School District, Private School or Homeschooled *

Your Town *

How did you hear about Broadway Arts Collective? *

PHOTOGRAPHY: Workshops are periodically photographed and videotaped for use in future BAC literature, advertisements and online social media and promotions. Students are NEVER identified by name. If you choose NOT to have your child photographed or videotaped, please know that they may be asked to step out from participating for a brief moment in order to avoid their appearance in a photograph or video. Do you give consent for your child to be photographed and/or videotaped?
*

YES. You have my consent.

NO. I do not want to have my child participate in any photographed or filmed activity.

BAC POLICIES: Yes, I have read the BAC Policy Page "Legal Stuff and Refund Policy" on the BAC website and I understand and agree to the terms and policies outlined.
*

YES, I agree!

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