Registration - Rising Stars Productions

Registration Form

Step 1 of 4

Rising Stars Programs*
Current Programs and Fees

Rising Stars West
Gardner, MA
June 24-28, 2019
9:00 am - 2:00 pm
Final Performance Friday at 7:00 pm
Auditions June 1
$250

Rising Stars North
Beverly, MA
July 8-12, 2019
9:00 am - 2:00 pm
Final Performance Friday at 7:00 pm
Auditions June 14
$300
Rising Stars Camp
North Reading, MA
July 22-26, 2019
9:00 am - 2:00 pm
Final Performance Friday at 7:00 pm
Auditions June 22
$300

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Child's Information
Child's Full Name (First and Last)*
Age*
Grade*
Gender*
School currently attending*
Child's T-shirt size*
Child's Email (optional)
Student's email Confirm student's email
Parent's Information
Parent Name*
First Last
Parent's Address*
City/Zip Code*
Parent’s Phone*
Parent’s Email*
Enter Email Confirm Email
Emergency Contact and Health Information
In case of emergency, please contact:*
Emergency Contact: Phone Number*
Emergency Contact: Relationship to Child*
Allergies
Medications
Other Health and Safety Concerns

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Audition Information
Performance Experience*
Voice Lessons*
Musical Instruments*
Dance Experience*
If applicable, has your child's voice changed yet?
Can your child read music?*
Would you be comfortable singing a solo at camp? (Please note that, while every effort is made to honor solo requests, solos are not guaranteed.)*
For Parents: Would you be willing to help with Front of House for the Final Performance? Volunteers will receive two comp tickets.*

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Payment and Signature
How did you hear about us? Please be specific.
Photo/Video Release*
- I give permission for photos and/or videos of my child to be used for future Rising Stars Productions publicity.
Rising Stars West Release of Liability*
- I agree to assume all responsibility in the event of injury to myself and/or any of my family members while participating in a program with Rising Stars Productions. I agree to release Rising Stars Productions and all of their contractors, First Congregational Church Gardner (Rising Stars West), their employees, and their affiliates from any and all liability in the event of injury to myself and/or my family members. In the event of a medical emergency, I give the above mentioned parties permission to transport myself and/or my family members to the nearest hospital. I agree to follow all the rules set by Rising Stars Productions for the safety of myself and my family members.
Rising Stars Camp Release of Liability*
- I agree to assume all responsibility in the event of injury to myself and/or any of my family members while participating in a program with Rising Stars Productions. I agree to release Rising Stars Productions and all of their contractors, Union Congregational Church (Rising Stars Camp), their employees, and their affiliates from any and all liability in the event of injury to myself and/or my family members. In the event of a medical emergency, I give the above mentioned parties permission to transport myself and/or my family members to the nearest hospital. I agree to follow all the rules set by Rising Stars Productions for the safety of myself and my family members.
Rising Stars North Release of Liability*
- I agree to assume all responsibility in the event of injury to myself and/or any of my family members while participating in a program with Rising Stars Productions. I agree to release Rising Stars Productions and all of their contractors, Dane Street Church (Rising Stars North), their employees, and their affiliates from any and all liability in the event of injury to myself and/or my family members. In the event of a medical emergency, I give the above mentioned parties permission to transport myself and/or my family members to the nearest hospital. I agree to follow all the rules set by Rising Stars Productions for the safety of myself and my family members.

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PAYMENT INFORMATION
A $50 non-refundable deposit is required to register. You will be directed to PayPal to pay the deposit after you complete your registration form.
The remaining balance is due at your child’s audition. Final tuition payments can be made in the form of cash or check to Rising Stars Productions.

REFUND POLICY
A refund minus the $50 non-refundable deposit will be issued up to two weeks prior to the start of your program. 2019 refund cutoff dates are June 10 for Gardner, June 24 for Beverly, and July 8 for North Reading. No refund can be granted for any reason after these dates.

AUDITION INFORMATION
Auditions are 12 minute individual appointments. You will be emailed a time assignment and audition instructions with your registration confirmation.

Theater Arts for Teens and Tweens

risingstarsnorth@gmail.com
978-895-2743
1480 Main Street
Reading, MA 01867

Registration Form

Step 1 of 4

Current Programs and Fees

Child's Information

Parent's Information

Emergency Contact and Health Information

Audition Information

Payment and Signature