Registration

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Upon completing this registration, participants must also register with the NSIA. A link to the NSIA registration will be provided via email. The $150.00 audition fee will be charged to your account when registration is received.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Relation to Student*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact First/Last Name and Cellphone # (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	Academic School:	Grade Level:
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Injuries (Leave blank if NONE):
	Illness (Leave blank if NONE):
	Social Media Handles :

Additional Information:

Audition Agreement

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I've read the above and agree.

Photo Consent

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I've read the above and agree.

Medical Consent & Liability Waiver

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I've read the above and agree.

Enter your Full Name: