Registration
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Join us for our Aerial Arts Summer Showcase! You can invite your friends and family to see the amazing things you have learned in our aerial arts program! Open to all currently enrolled Aerial Arts student levels. Space is Limited! Choice of apparatus and music are required upon sign up. Theme is all things Summer Festival - music festivals, block parties, 4th of July, beach party and all things Summer! We also recommend signing up for 1 practice clinic after registering. Spots are limited and sign ups for practice clinic are separate. *All events are nonrefundable
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Adult Student
Father
Grandparent
Guardian
Mother
Parent
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
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Emergency Contact Info
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Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
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Last Name:
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Student Gender:
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Female / SHE
Male / HE
Other / THEY
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female / SHE
Male / HE
Other / THEY
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female / SHE
Male / HE
Other / THEY
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female / SHE
Male / HE
Other / THEY
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female / SHE
Male / HE
Other / THEY
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Questions/Options:
What is your Summer Themed song/music? WE MUST HAVE SONG TO COMPLETE REGISTRATION. *Music is subject of approval and must family friendly.
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What apparatus are you performing on?
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You may pick ONE Performance clinic to sign up for. Go online and register under events tab and choose from the times. Please initial that I understand that I have to sign up for this separately.
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Additional Information:
Other Questions/Comments:
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