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Product Test Form
Product Test Form
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Registration (1)
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Student Name
First
Last
Have you already registered the above student for this season?
(Required)
Yes
No
Guardian Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
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Panama
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Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
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Vanuatu
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
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Zimbabwe
Åland Islands
Country
Birthdate
MM slash DD slash YYYY
Email
Phone
Alternate Phone Number
Photo Consent
I agree to my child being photographed
Video Consent
I agree to my child being video taped
Liability Consent
(Required)
I agree to
Registration Hidden Field
Do not delete this field
Registration Options
(Required)
Regular Registration Fee
Storybook Theatre Only
Already Paid
Registration fee is required once per year per family. If you have already paid the registration fee this year, please select Already Paid.
Class Hidden Field
Do not delete this field
Class Options
Acting for the Stage: Junior (1 available)
Acting for the Stage: Senior (0 available)
Adult Music Theatre
Chordz
Intermediate 1 Dance
Intermediate 2 Dance
Intermediate Tap Dance
Junior Dance
Lights of Broadway
Mini Star Musical Theatre – Tuesday 3:30pm – 4:30pm
Mini Star Musical Theatre – Tuesday 6:30pm – 7:30pm –
Novice Dance Lessons
Piano Lessons with Heidi Hewitt
Private Dance Lessons with Cherise McInnis
Shining Stars Musical Theatre – Mondays: 4:30pm – 5:30pm
Shining Stars Musical Theatre – Tuesdays: 4:30pm – 5:30pm
Story Book Theatre
Teen Stars
Twinkle Stars – Tuesday 5:30pm – 6:30
Twinkles Stars – Wednesday 3:30pm – 4:30pm
Voice Lessons – Charity Van Gameren – 30 minutes
Voice Lessons – Charity Van Gameren – 45 minutes
Voice Lessons – Charity Van Gameren – 60 minutes
Voice Lessons – Heidi Hewitt – 30 minutes
Voice Lessons – Heidi Hewitt – 45 minutes
Voice Lessons – Heidi Hewitt – 60 minutes
Costume Hidden Field
Do not delete this field
Costume Options
(Required)
Storybook Theatre ONLY
Twinkle Stars Theatre ONLY
Shining Stars Theatre ONLY
Mini Stars Theatre ONLY
Teen Stars Theatre ONLY
Payment Options
I would like to pay in full
Pay Registration and Costume Fees Only
All registration and costume fees must be paid up front at the time of filling out this form. If you would like to pay your class fees later, choose the second option and we will invoice you. This option is subject to a $10 Administration Fee.
Pay Later Amount
Price:
$ 0.00 CAD
GST 5%
Price:
$ 0.00 CAD
Total
Consent
I agree to the privacy policy.
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Payment Method
*
PayPal Checkout
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Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.
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