NEW STUDENT INTAKE FORM

Student's Name *

First Name

Last Name

Student's DOB *

MM

DD

YYYY

Parent / Guardian's Name *

First Name

Last Name

Phone *

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Class(es) Enrolled In: *

Broadway Rising Stars — Mon 3:30–4:30 PM

Broadway Rising Stars — Sat 10:00–11:00 AM

Acting Rising Stars — Wed 3:30–4:30 PM

Elementary Acting — Tue 3:30–4:30 PM

Elementary Musical Theater — Mon 4:30–6:00 PM

Elementary Musical Theater — Thu 3:30–5:00 PM

Elementary Vocal Mastery — Mon 3:30–4:30 PM

Elementary Vocal Mastery — Thu 5:00–6:00 PM

Elementary Vocal Mastery — Sat 10:00–11:00 AM

Junior Acting — Wed 4:30–6:30 PM

Junior Musical Theater — Thu 5:00–7:00 PM

Junior Vocal Mastery — Thu 4:00–5:00 PM

Junior Vocal Mastery — Sat 1:15–2:15 PM

Senior Acting — Sat 1:00–3:00 PM

Senior Musical Theater — Tue 5:00–7:00 PM

Senior Vocal Mastery — Tue 4:00–5:00 PM

Frozen: Production Class — Sat 11:00 AM–1:00 PM