The ATA Theatre &Academy of Theatre Arts
2016 Summer Registration Sheet
Student’s Last Name: ______________________________________________________________
Student’s First Name:______________________________________________________________
Age/Birth Date: __________________________________________________________________
Address:
__________________________________________________________________
__________________________________________________________________
Mother’s Name: __________________________________________________________________
Father’s Name: __________________________________________________________________
Email Address:__________________________________________________________________
Phone:
___________________________ Cell Phone: ___________________________
Emergency Contact & Number: ____________________________________________________
Summer Session:
A (Broadway at ATA) July 11 – 22
B (On Stage at ATA) July 25 – August 5
C (Catch a Rising Star) August 8 - 12
D (Catch a Rising Star) August 15 – 19
E (Catch a Rising Star) August 22 – 26
F (Broadway Babies) August 15 – 19
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Please attach and submit form on SUMMER AT ATA page or
Please mail this form to:
Academy of Theatre Arts
5505 Main Street
Williamsville, New York 14221
PARENTAL CONSENT:
I agree to follow all policies and procedures set forth by Academy of Theatre Arts. I accept the responsibility of reading and
following all information communicated by the Academy. I further accept all responsibility of any potential risk associated with
participating in a theatre class, and affirm that I have and will provide proper health insurance for my child’s protection. I give
permission for emergency medical treatment of my child if a parent cannot be contacted. I hereby grant permission for my
child to be photographed by Academy of Theatre Arts for publicity and/or production purposes.
PARENT/GUARDIAN SIGNATURE:____________________________________________________
$50.00 Deposit Received:
______ cash _________check __________ Credit Card______
Visa/MasterCard/Amex/Discover (circle one) credit card number:
________________________________
expiration date: _______ CVC:_____
Please use my credit card number on file (we do not keep credit cards on file unless you are a year
long student): ______
ATA SUMMER CAMP FAQ’s
Is the $50 deposit due when I send in my registration form?
-Yes. We will not hold a spot for camp unless the deposit is received.
When is the rest of the summer camp tuition due?
-Camp tuition is due in full no later than June 1st. If we do not receive your payment
by this date, we will move someone into that spot.
What if I register after June 1st for summer camp?
-Both the deposit and tuition are due at the time of registration.
Is the deposit refundable?
-No, this is a non-refundable deposit.
Is the tuition refundable?
-Tuition is 100% refundable up until the Monday before camp begins. 75% is
refundable a week before camp begins. 50% is refundable the day of camp. After
the first day of camp, tuition becomes nonrefundable.
How do I know my registration was received and my child is confirmed for the
camp?
-If you send your registration online, you will receive an email confirmation within 24
hours during business hours. If you send your registration via postal service, please
allow 5 business days for email confirmation. If you do not receive an email
confirmation or any type of communication from ATA within this time frame, please
call or email. If you have not heard from us please do not assume we have your
registration form.
How will information about camp be communicated to me?
-All information regarding ATA summer camp will be sent via the email you provided
on the registration form. Please ensure this is a working email and is checked often.
What if I am registering with a friend or family member and would like to be placed in
the same group as them?
If you would like your child to be placed in the same group with 1-2 other students
please make a note of this on your registration form or email Erin Zimmerman
directly at erinzimmerman@academyoftheatrearts.com.
When will I know what time/date my child’s performance is?
The performance date is always the last Friday of camp. Performance times vary
between 4:00pm through 8:00pm for “Onstage at ATA” & “Broadway at ATA”. For
“Catch a Rising Star” performance times are either 2:00pm or 3:00pm.
Do we need to purchase tickets?
Yes. Tickets for “Onstage at ATA” & “Broadway at ATA” are $8. A ticket order form
will be sent home with your child on the 2nd day of camp. For these camps seating is
reserved and order forms are processed in the order they are received. Tickets for
“Catch a Rising Star” & “Broadway Babies” are free and seating is first come, first
serve.