STAR Theatre/Performance "Puffs" Enrollment Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out one form per participant.

Email *

Untitled Title

Student Name (First, Last) *

Pronouns (she/her, he/him, they/them)

Participant's Date of Birth *

YYYY

Grade level (entering in fall) *

Parent/ Guardian Name (First, Last) *

Parent/ Guardian Name (First, Last)

Parent/ Guardian Email Address *

Parent/ Guardian Email Address

Parent/ Guardian Phone Number *

Parent/ Guardian Phone Number

Parent/ Guardian Address (please include city and zipcode) - for possible materials drop-off *

Photo and video release: I give authority and permission for my child’s name, voice and image to be included in photographs and/or videos associated with their participation in STAR Arts Education Video, Audio, Podcast programs. Participants may be photographed and/or videotaped as a part of their participation in STAR Arts Education programs. I understand this media may be used in diverse promotional or educational settings within an unrestricted geographic locations.

Yes

Clear selection

Signature: I, the undersigned parent/legal guardian, am aware of the commitment and expectations of this child’s participation in STAR Arts Education (SAE) Video & Theatre programs, and to the best of my knowledge, this child is willing and able to take part. By the execution of this instrument, I agree to hold SAE – a non-profit organization – harmless and blameless for any and all claims which might arise as a result of the participation of my child in this program.

Would you like to make a donation to STAR Arts Education? Give the gift of the arts to another child. STAR is a 501c3 nonprofit origination.

$50

$100

$250

Other:

Clear selection

STAR Theatre/Performing Arts is looking forward to a fun-filled summer!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of STAR Arts Education. Report Abuse

Forms