Registration
A $50 deposit per student / per class will be due immediately upon registration.  
When you submit the registration form, you will be directed to another page for
payment.  (If you are registering for a "Foundations" seminar, an additional $20
will be due at this time as well.)

Registrations will not be accepted without a tuition deposit.
 
Student's First &
Last Name
1st Class Title
Day of the Week (for class)
Prerequisite for this class
This student has completed the
required prerequisite for this course
This student needs to take the
prerequisite for this course
2nd Class Title
Day of the Week (for class)
Prerequisite for this class
This student has completed the
required prerequisites for this course
This student needs to take the
prerequisite for this course
Age        
Birth Date
Gender
Are you a NEW student to ACT? (New students receive
an ACT Binder on the first day of class.)
RETURNING students need to bring their ACT binders
with them to class.  If you have lost your ACT binder,
you may purchase one for $5.  Do you need to order a
new ACT binder? ($5 will be added to your tuition.)  
Parent's Names  
Street Address   
City          
State    
 Zip Code   
Home Phone     
Cell or Alt. Phone
TWO Phone numbers
(Home, cell or work)
are required in case of
an emergency.
E-mail Address
Medical Release
 In the event of an emergency, I understand that a reasonable effort will be
made to contact me. If I cannot be reached, I hereby authorize an agent of the
Academy of Children’s Theatre (ACT) to act on my behalf to seek emergency
medical treatment for my child, listed above, in the event that such treatment
is deemed necessary by that agent. I authorize the physician selected by said
agent to administer such emergency treatment as said physician deems
necessary (in his/her judgment) under the circumstances. I understand and
agree that I will be responsible for payment of said physician's fee and any
and all other fees or expenses associated with such treatment. I hereby
release the ACT, its agents and employees from any and all claims and
liabilities resulting from participation with ACT-sponsored activities.
Parent/Guardian Signature - by filling your name,
you confirm that you agree to the medical release and
have the legal right to sign for medical treatment of the
aforementioned minors.
Date
Publicity Waiver
 Unless informed otherwise in writing, the Academy of Children's Theatre (ACT)
considers photographs taken of students and their work in class and in
performance to be permissible for publication in ACT marketing materials and
in informational publications, including our website.
Refund Policy
 I have read and understand ACT's
refund policy.  
Message to ACT
How did you
hear about
ACT?
There will be a $15 fee for any bounced checks, balance transfers with insufficient funds,
or credit card charge backs.  
NOTE: A tuition deposit is due as you register.  When you click on submit, you will be
directed to a payment page to make the deposit via Paypal.com, which is a secure site
where you can pay by credit or debit card.

Registrations submitted without payment will NOT be given a spot in class.  
HAVING TECHNICAL DIFFICULTIES?
If you click Submit and it does NOT take you to the payment page, please contact ACT
right away.   That means your registration did not go through.  Most registrations are
being submitted, but a few families have had problems registering!