BATAVIA STUDIOS Musical Theater Registration & Release Form
PLEASE FILL IN FULL:
Student’s Name: _______________________________________Age: __________
Gender: M ☐F ☐
Grade: ________
Birthdate ___________________________ School _________________________
Mother’s Cell: _______________________________ Father’s Cell _____________________________
Address:_______________________________________City: __________________________________
State: _______Zip ___________Email address: ____________________________________________
Emergency Contact: _______________________________
Relationship: ___________________
Phone (home): _________________________________ (cell): _____________________________
REHEARSALS WILL BE
Wednesdays and Thursdays – 10 – 12:30PM – from July 1st – August 20th
DRESS REHEARSALS WILL BE Week of August 15th (Saturday) till show date
Exact times will be given closer to the date.
SHOW WILL BE
August 21st – Friday – 7:30PM
August 22nd – Saturday – 4:30PM
Please list any classes that you know you will be missing from July 1st – August 20th
(There will be no class July 2nd – Thursday)
I give permission for my child to be photographed (pictures will only be used for program and headshots to be
given to you):
YES: _________
NO: _________
I give permission for my child to participate in dance and gymnastic routines for this show:
YES ________
NO _________
How did you hear about us: ___________________________________________________________
REGISTRATIONS WILL CLOSE ON JUNE 1st – and space is limited to only 45 kids for this show.
Batavia Studios Medical Release Form:
Please note any Allergies (Food or environmental) we should be aware of: ____________________________
Please note any physical or other disabilities we should be aware of that would pertain to this specifically
___________________________________________________________________________
___________________________________________________________________________
Pediatrician/Doctor __________________________
Number ______________________________
Emergency Contact ____________________________________ Number ________________________
I ____________________________do hereby allow my child _______________________ to participate in
gymnastics and dance routines for this show.
I ___________________________ do hereby release Batavia Studios and all instructors from any and all
claims for damages or for injuries which I, or the minor student ________________________________ may
sustain while participating in any activities with Batavia Studios. I do also give Batavia Studios permission to
obtain or provide any necessary medical attention for the student.
Signed: __________________________________________ Date______________________
Print Name: ____________________________________________
Please complete a separate form for EACH child and mail to:
Batavia Studios
7031 Crider Road
Mars, PA 16046
Payment Information
Total Tuition: $325.00
This includes a 75.00 non refundable fee due upon registration
Choose from the following payments:
☐ OPTION 1:
Pay full tuition of $325.00 (15.00 off – 75.00 registration fee + 235.00)
☐ OPTION 2:
Pay 75.00 non-refundable registration fee upon registration and then remaining balance
on first day of class – of $250.00 (will get charged on credit card on July 1st)
☐ OPTION 3:
Pay 75.00 non-refundable fee upon registration then follow payment schedule:
Payment schedule:
1st payment: Upon registration
2nd payment: July 1st
3rd payment August 1st
$75.00(non-refundable registration fee)
$125.00 (Charged on credit card)
$125.00 (Charged on credit card)
PLEASE FILL IN THE FOLLOWING COMPLETELY: All Registrations due by June 1st
REGISTRATION FEE TUITION OPTION
$75.00 X ________ =
OPTION #__1__
235.00 X _________=
this includes 15.00 discount when paying in full)
OPTION #2 & #3 - please fill out credit card info below
T-SHIRT
$_____________
$_____________
$15.00 x ________ =
$____________
T-Shirt Size _____
$11.00 x _______ =
$_____________
Child: CS (6/8), CM (10/12), CL (12/14)
Adult: AS, AM or AL
Rehearsal CD (all songs for Aladdin KIDS)
TOTAL DUE:
Paying by
$_____________
Check __________ # ______________
Credit card
(Information below)
NOTE: Your tuition will include the actor’s book, costumes and dress rehearsals. Tickets will be sold prior to
show.
**Credit Card Information and Authorization – REQUIRED FOR OPTION 2 and 3
Name on Credit Card: ______________________________________
☐VISA
☐MASTERCARD
Billing Zip:____________
☐DISCOVER
Credit Card No: _____________________________________Exp (Month / Year) ______/_______
Signature: _______________________________________
Aladdin KIDS Audition Information
As soon as we get your registration sheet and initial registration payment – your child will receive
his/her book. And they will also receive the rehearsal CD as early as March 15th if you ordered one.
Your child should be very familiar with all the songs on the CD and in the book. They will be required
to sing as a group and they will also be taken in different groups so we can evaluate them.
On the second day of rehearsal – which will be July 8th – we will hold informal Auditions.
July 2nd we will not have classes due to the Holiday.
Remember
This is when we will pull each child in for informal auditions and ask them to sing the excerpt that we
assign to them on the first day of class.
The Director will provide the cast list soon after the auditions – all cast lists are final.
If you have any questions, please contact us – 724-625-6676