Collaborative Academy Registration - Collaborative School of the Arts

Student Name(Required)

First Last

Which session are you registering for?(Required)

Senior Academy

Junior Academy [Registration open in Nov.]

Gender (check all that may apply)(Required)

Male

Female

Non-binary

Pronouns (check all that may apply)(Required)

He/Him

She/Her

They/Them

Adult t-shirt size(Required)

Date of Birth(Required)

School

School District

Experience

Please list previous training (in years) and experience.(Required)

Have you taken voice/singing lessons?(Required)

Yes

Number of years

Vocal teacher(s)

Have you taken dance lessons?(Required)

Yes

Number of years

Which styles?

Names of dance teachers

Have you taken acting lessons?(Required)

Yes

Number of years

Styles

Acting teachers

High School drama teachers

Performance experience

(i.e., school, community theatre, Church/Temple, professional experience, etc.)

List show role and location or upload resume below

Other talents?

i.e., accents, gymnastics, musical instruments, juggling, roller skating, etc.

Marketing

How did you hear about Collaborative Academy? (check all that may apply)(Required)

Social media

Web

E-mail

Playbill

Flyer

Word of Mouth

Other (please list)

Other:

Primary residence

Guardian's name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Guardian email(Required)

Guardian phone(Required)

Student email(Required)

Student phone(Required)

I, (the parent/legal guardian of the child above) hereby give and forever grant Proctors Collaborative permission and consent for value received and without further consideration or compensation to the use (full or in part) of photos and all videotapes taken, recordings made of the child’s voice and/or written extraction, in whole or in part, of such recordings or musical performance for the purposes of illustration, broadcast, web cast or distribution in any manner by Proctors Collaborative for Collaborative School of the Arts or for any other purpose. It is the intent of Proctors Collaborative to use these photographs and videos in educational materials and future promotions of the theatre.

Consent(Required)

I further warrant to Proctors that I am the parent or legal guardian of the above stated child and have every right to grant the permission outlined above:

Type name below to consent