Registration
Leave your children ages 3-12 (must be potty trained) with us for a fun-filled evening of dancing, karaoke, games, crafts, snacks, and a movie while you have a fun night out, or enjoy a well-deserved break! Proceeds go toward Applause Studio’s Youth Parent Organization, who is in charge of our scholarship program and performance team expenses (costumes, events, etc.).
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does your child have any allergies?*
 
Additional Information:
 
Assumption of Risk
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I've read the above and agree.
 
Release of Liability
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I've read the above and agree.
 
Payment Policies
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*