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Welcome to Rising Stars Academy Registration
Hi there, please fill out and submit a separate form for each participant.
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1
Participant's Name
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2
Birthday of Participant
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Parent's Full Name
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First Name
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Parent Phone Number
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Participant's Phone Number
If they have one, and they would like to be contacted about rehearsals
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6
T Shirt Size
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In Unisex Adult and Youth Sizes
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7
Pant Size
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6 Teen/ Women
8 Teen/ Women
10 Teen/ Women
12 Teen/ Women
14 Teen/ Women
16 Teen/ Women
18 Teen/ Women
20 Teen/ Women
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8
Parent's Email
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9
Address
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Street Address
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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10
In which area of focus would you really love to expand your knowledge and skills?
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What do you hope to achieve during these classes? Acting, singing, dancing, audition prep, auditions, resume building, self-confidence, performance etc...
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11
Please share any experience you have that relates to Musical Dance Theater
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(Singing, dancing, acting, gymnastics, musical instruments. Number of years of private or group lessons, classes or education. Any performance experiences, special talents and skills) By signing up you are in the classes. We just like to see what you've been working on!
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12
Please Upload Resume
If you have one that's great. If not, don't worry, we will learn about creating one! By signing up you are in the classes. We just like to see what you've been working on!
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13
Please Upload a Headshot
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Please share a photo that is from the shoulders up. This can be a quick photo you take on your phone!
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14
MEDIA CONSENT, RELEASE, AND WAIVER
I hereby give consent to South Valley Performing Arts and Rising Star Theater Company to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my child or children (if applicable) to use in any public media, including radio, television, internet, social media, print or in any of the organization’s or its partners’ publications, productions, or posts. I understand that the intended use of such images and information is solely for the purpose of advertising, marketing, fundraising and/or the promotional and public awareness purposes for the organization. I hereby waive any rights or interest in the images or recordings, as contemplated in this release.I acknowledge that this consent to use images and/or recordings is being made solely for the benefit of the organization and comes without any expectation of monetary compensation or other benefit to me. To the extent that any benefit accrues or might accrue to the organization from the use of images or information, I hereby and forever waive any interest in or claim to such benefits. I hereby release and forever discharge the organization (including without limitation all corporate affiliates and officers, directors, trustees, donors, employees, agents and volunteers) from any and all claims, liability, actions, suits, demands, costs, expenses or indebtedness arising out of, related to, or in any way connected with the use of images and materials described herein, and I hereby waive all rights and interest in and to such information and materials. I further acknowledge that there is no guarantee that any or all of the participants’ images or recordings will be used in any released media. I have been informed that this authorization is voluntary and is subject to revocation at any time, except to the extent that action has been taken in reliance thereon, by notifying the organization in writing at risingstarstheaterutah@gmail.com.
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15
On the following page, please choose the age group you will be attending. PLEASE NOTE THAT ADDING A CLASS IS FOR ONE PARTICIPANT ONLY. PLEASE CREATE A NEW REGISTRATION FORM FOR EACH CHILD. Note: Teen and Kid groups will be working together for some of the performance material. All classes are held at Advantage Arts Academy in Herriman.
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16
Invoice ID
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17
My Products
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Please read each option carefully. If you are signing up for the Fundamentals Dance Class AND the Academy Class, pleae choose the combo for the corrrect age so that you are not charged an extra registration fee.
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KIDS (Ages 7-11) Academy Class Registration- $80 per month Thursdays- $80 per month 5:30- 7:00 pm
Classes for children ages 7-11 include individual and group training in singing, dancing, and acting taught by quality teachers with experience in performing and directing. Participants will perform in a combined class musical theater show in April. Classes are every Thursday from Sept.- April with a musical theater performance in April. Possible performances throughout the community during the year. All classes are held at Advantage Arts Academy in Herriman . $65 costume and $65 Performance fee due each semester in October and again in February.
$
45.00
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TEENS (Ages 12-18) Academy Class Registration- $80 per month Thursdays 5:30- 7:00 pm
Classes for teens ages 12-18 include individual and group training in singing, dancing and acting taught by quality teachers with experience in performing and directing. Participants will perform in a combined class musical theater show in April. Classes are every Thursday from Sept.- April with a musical theater performance in April. Possible performances throughout the community during the year. All classes are held at Advantage Arts Academy in Herriman. $65 costume and $65 Performance fee due each semester in October and again in February.
$
45.00
+
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KIDS (Ages 7-11) Musical Theater DANCE Fundamentals Registration- $55 per month Thursdays 4:30- 5:15 pm
We’re excited to introduce a brand-new class this season! Join us Thursdays from 4:30–5:15 PM for Musical Theater Dance Fundamentals—a perfect warm-up before our main Musical Theater class. This high-energy, confidence-building class will focus on the essential dance skills every performer needs: from Jazz, Ballet and Broadway basics to learning how to pick up choreography quickly. Whether your child is new to theater or looking to sharpen their skills, this class is a fantastic foundation for every young triple-threat! $65 costume and $25 Performance fee due each semester in October and again in February.
$
45.00
+
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TEENS (Ages 12-18) Musical Theater DANCE Fundamentals Registration- $55 per month Thursdays 4:30- 5:15 pm
We’re excited to introduce a brand-new class this season! Join us Thursdays from 4:30–5:15 PM for Musical Theater Dance Fundamentals—a perfect warm-up before our main Musical Theater class. This high-energy, confidence-building class will focus on the essential dance skills every performer needs: from Jazz, Ballet and Broadway basics to learning how to pick up choreography quickly. Whether your child is new to theater or looking to sharpen their skills, this class is a fantastic foundation for every young triple-threat! $65 Costume and $25 Performance fee due each semester in October nd again in February.
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45.00
+
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KIDS COMBO (Ages 7-11) Dance Fundamentals AND Musical Theater Academy Class Registration - $105 per month for both - Thursdays 4:30-5:15 pm & 5:30-7:00 pm
Kids Dance Fundamentals Class and Musical Theater Academy Classes. There will be 2 $65 costume fees and one $65 Performance fee due each semester in October and again in February.
$
45.00
+
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TEENS COMBO (Ages 12-18) Dance Fundamentals AND Musical Theater Academy Class Registration- $105 per month for both Thursdays 4:30-5:15 pm & 5:30-7:00 pm
Teens Dance Fundamentals Class and Musical Theater Academy Classes There will be 2 $65 costume fees and one $65 Performance fee due each semester in October and again in February.
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45.00
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