ONLINE REGISTRATION AND TUITION PAYMENT FOR SUMMER 2019 "Broadway to Hollywood Cabaret"

To complete registration online, fill in all mandatory fields below, which are marked with an "*", otherwise you will receive an error message.

If you prefer to register offline, click here to download and print registration forms; bring completed forms and tuition balance due of $550 to the first rehearsal.

Child Participant Name *
Child Participant Name
Address *
Address
Child's primary residence
Parent 1 Name *
Parent 1 Name
Parent 1 Phone *
Parent 1 Phone
Please list phone number we can reach you at during rehearsals
Parent 2 Name
Parent 2 Name
Please complete if secondary parent/guardian will be involved with drop off/pick-up during rehearsals.
Parent 2 Phone
Parent 2 Phone
Please list phone number we can reach you at during rehearsals
Person Responsible for Pick-Up After Rehearsal (if other than parents listed above)
Person Responsible for Pick-Up After Rehearsal (if other than parents listed above)
Phone for Person Responsible for Pick-Up after Rehearsal
Phone for Person Responsible for Pick-Up after Rehearsal
Please list the phone number we can best reach you at during rehearsal.
Emergency Contact 1 Name *
Emergency Contact 1 Name
Please list name of person we can easily reach in the event of an emergency when the primary and secondary contacts cannot be reached.
Emergency Contact 1 Phone *
Emergency Contact 1 Phone
Emergency Contact 2 Name
Emergency Contact 2 Name
Please list name of person that can easily be reached in the event of an emergency when none of the other contacts can be reached.
Emergency Contact 2 Phone
Emergency Contact 2 Phone
Please list any known allergies and any special instructions (e.g no peanuts allowed, carries Epi-Pen, etc.). If registering multiple participants, please indicate name of person(s) with allergies.
Non-Discrimination Policy *
The South Bay Conservatory is a non-profit organization. The school does not discriminate on the basis of race, color, nationality, sex, ethnic origin or religious belief in its admission, retention, student aid, scholarships or other policies.
Liability Policy *
I, and/or my participating family members have no physical impairment that would be affected by our participation in this production. I agree to allow the individual(s) I have registered to participate in this production and I further agree to indemnify and hold the South Bay Conservatory harmless from and against any and all liability for any injury which may be suffered by the registered participants arising out of or in anyway connected with participation in this production.
Payment and Refund Policy *
Payment for tuition is due in full by the first rehearsal. Installment payments may be made by special arrangement - contact Linda Dryer at southbayconservatory@gmail.com. Payments made to SBC are non-refundable and non-transferrable. Any exceptions require SBC Executive Board approval.
Publicity Policy *
I grant full permission to the South Bay Conservatory to use my/my child's name and any photographs, videos, motion pictures or recordings for any publicity and promotion without obligation or liability to me.
Unforeseen Circumstances *
The South Bay Conservatory reserves the right to cancel the program or change show dates due to unforeseen circumstances including but not limited to; insufficient enrollment, theater unavailability, unannounced events or construction.
Type your full name here - this constitutes your signature.
Date *
Date

Tuition Payment

Tuition is $650 and includes all materials and costume fees. Additional costs include any costume accessories needed, such as shoes and/or tights, and optional purchases such as DVDs of the performance, tickets, etc.

Deposit of $100 was due at the time of audition.

* Tuition Balance of $550 is due by the first rehearsal on Monday, July 8.

Online Payment Option
Click the link below to pay the tuition balance online; the link will take you to a secured site.

Offline Payment Option

If you prefer, you may pay by check, credit card or cash at the first scheduled rehearsal (make check payable to South Bay Conservatory).