Register at AOPA

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The Academy of Performing Arts

Registration Form (Please print and return to The Academy of Performing Arts)

Where did you hear of us? __________________________ Placement___________________________

Print the Student's Name (as you want it spelled in any performance program)

___________________________________________ Age _____ Birthdate _____/_____/__________

Address ____________________________________________ Phone _________________________

City/State/Zip _______________________________________________________________________

Email _________________________________ School _________________________ Grade ________

Parents/Guardians _____________________________________________________________________

Address _____________________________________________________________________________

City/State/Zip _________________________________________________________________________

Phone Numbers _______________________________________________________________________

Employer ____________________________________________________________________________

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Agreement

In consideration of the acceptance of this registration, the student and custodial parent (or legal guardian) agrees to indemnify and hold harmless The Academy of Performing Arts, all officers and employees, from any injury, damage or loss arising out of the student's participation associated with The Academy of Performing Arts. This agreement will be in force during the student's participation in the Academy for the entire period of time that the student is enrolled at the Academy.

Date signed _____/_____/__________

Student's Signature ___________________________________________________________________

Parent's (or Legal Guardian's) Signature ____________________________________________________