Summit Fine Arts Academy Student Intake Form
Register your student for Broadway Basecamps! Please complete all sections and submit payment to secure your spot. The Camp and Showcase will take place at Good Shepherd Lutheran Church Monday-Friday. Broadway Basecamp KIDS 5-7, Broadway Basecamp JR 8-10, and Broadway Basecamp TEENS 11-16.
Parent/Guardian Information
Please provide your contact details.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Information
Please enter information about the student enrolling.
Student Full Name
*
First Name
Last Name
Student Grade (Entering Fall 2026)
*
Please Select
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
Student Date of Birth
*
-
Month
-
Day
Year
Date
Student's Size Shirt
Please Select
YS
YM
YL
YXL
Adult XS
Adult Small
Adult Medium
Adult Large
Adult XL
Describe your student's current musical or choral background.
Emergency Contact Name (if different from parent/guardian)
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any allergies or medical conditions we should be aware of?
Releases and Consents
Please review and provide your consent for the following.
Class Registration & Payment
Please complete your registration by submitting payment below.
My Products
Categories:
All
All
Sort By
Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
Clear Sort
prev
next
( X )
WEEK 2-LIGHTS! CAMERA! ACTION! 10:00-12:00 (Ages 8-11)
$140.00
$
140.00
WEEK 3 July 27th-31st 10:30-11:45 am Broadway Basecamp JR (Ages 8-11)
$140.00
$
140.00
Credit Card
Submit Registration
Should be Empty: