Grades 6 – 8: Sketch Comedy – Winter 2016

To find out more about the courses we offer, please visit the Education & Outreach page!

American Stage is an equal opportunity organization. Students will be admitted without regard to race, creed, gender, national origin, or physical/mental abilities.

Registering for a classes is simple:

Complete the form on this page.
When you click “Submit” you will be prompted to complete your payment online, or via phone.

Our education programs are popular! To ensure you get a spot in the class, submit this form as soon as possible. If you are concerned about your ability to pay for any course, payment plans are available.

* Required

Grades 6-8 Enrollment Form

Course Information

Grades 6 - 8: Sketch Comedy – Winter 2016

Student Information

Student First Name *

Student Last Name *

Grade *

Date of Birth *

mm/dd/yyyy

Age *

School

Student's T-shirt Size

Parent Information

Parent/Gaurdian Name *

Parent Phone Number *

Email Address *

(2nd) Parent/Guardian Name

(2nd) Parent Phone

(2nd) Email Address

List below the name, relationship, and phone number of those permitted to pick up your child

If your child is in the Advanced Teen Acting class, are they permitted to sign themselves out? (Not applicable to those with children below 9th grade)

Yes

How did you hear about American Stage Education & Outreach?

Emergency Contact & Health Information

Emergency Contact 1 Name *

Contact 1 Phone Number *

Relationship to Student

Emergency Contact 2 Name

Contact 2 Phone Number

Relationship to Student

Emergency Contact 3 Name

Contact 3 Phone Number

Relationship to Student

Allergies or associated needs (i.e. bee stings, asthma, etc)

Does your child take medications, or have a medical diagnosis you would like us to know about (i.e. ADD, diabetes, etc.)?

Does your child have any special needs (i.e. physical, cognitive, or other neurodiversity challenges)? Please describe your child’s limitations, as well as strengths.

What else would you like us to know about your child?

Agreements

Photo Release: I give American Stage my consent to use photographs, video, or audio recordings of my child for advertising and promotional purposes. (Names will not be used).

I Agree

I do not agree

Participant/Parent Agreement:

American Stage Theatre Company Student & Parent Agreement

Rules and Regulates
I hereby agree to accept a position as a student at American Stage Theatre Company. I agree to respect the teaching artists and assistants, as well as those around me. I am aware that no liability whatsoever will be incurred by American Stage for injuries resulting from voluntary actions or services.

Terms and Conditions

I agree to hold American Stage harmless for any injuries my child may sustain including, but not limited to injuries resulting from classwork (which are participated in willingly)
Release Form
I, the undersigned agree to release, and discharge American Stage from responsibility for loss or damage of personal property while my child is taking classes.

Dismissals
Any student who is deemed to have behaved inappropriately will be provided with two warnings, one directly to the student, and one to both the student and parent. After this, he or she may be dismissed from the class. Any students who is deemed to have behaved dangerously or harmfully to others or him/herself may be dismissed from the class without prior warnings.
By clicking “submit,” I acknowledge that I have read and understand the terms and conditions of the student agreement and will comply with them.

You are NOT REGISTERED until you pay for this class. (Payment plans available via phone)

American Stage 163 3rd Street North, St. Petersburg, Florida 33701 | Directions
American Stage is a 501(c)3 nonprofit organization