REGISTER

Please fill out the form and hit send. Where a signature is requested please enter the required name and we will get you to sign on your next visit. Please enter all fields and if any field is not applicable please enter N/A.

Name of Student

Please list classes student is enrolling in

Name of Parent / Caregiver

PERMISSION TO PARTICIPATE IN PERFORMANCES
I give permission for my child (children) to participate in performances.
YesNo

BEHAVIOURS AND GUIDELINES
We have read and understood the behavioural guidelines and agree to abide by them.

Signed (Student)

Signed (Parent)

PERMISSION TO BE PHOTOGRAPHED AND FILMED
I give permission for my child (children) to be photographed / filmed whilst participating in productions. Either individually or in groups – for a variety of promotional activities associated with Creative Academy of Performing Arts productions. I understand that any video footage or images taken may be shown in a public environment and may be edited by Creative Academy of Performing Arts. I acknowledge that there is no obligation to include my child (children) in promotional material activities. I release Creative Academy of Performing Arts from any claim by me or anyone on my behalf, arising out of my child (children’s) appearance in promotional activities. I acknowledge that there is no payment or further consideration for my child’s (children’s) performance.

Signed (Parent)

STUDENT REGISTRATION FORM
I wish to enrol my child I understand that if my child is involved in productions, he/she must attend additional rehearsals as well as his/her weekly classes. I provide the following information to update your records.

Student Name

Date of Birth

Gender
MaleFemale

Parent / Guardian

Street Address

Suburb

Postcode

Parent Mobile

Home Phone

Student Mobile

Email

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Home Phone

Signed Parent/Guardian

Date

Relevant Medical Condition: (E.g. Epilepsy, Asthma, Allergies, Heart condition, etc* ) Please attach a First Aid Health Care Plan for any medical condition.