For our August-May enrollment records please let us know which of the options below best describes the registering student, sibling or parent's involvement. (Not including a summer camp or workshop) *

AUGUST-MAY CLASSES

NO PRIOR ENROLLMENT - COMPLETELY NEW TO APAC

Student Name *

First Name

Last Name

Student Gender *

Female

Male

Student Date of Birth *

MM

DD

YYYY

Cell *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

Emergency Contact Other Than Parent

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Photo Permission *

I give permission for my child to be photographed and/or videoed during classes and performances. I understand that APAC retains full ownership and copyright of all photos/videos and has the irrevocable right to use any such image in all marketing and social media.

Yes

No

Preferred Payment Methods *

I understand if paying with Cash, it is not traceable, and I am responsible for ensuring that APAC has received my payment. I understand that preferred traceable payments are PayPal (Credit Card) and Check.

I understand when paying electronically a 3.75% fee is added.

I understand that all payments are considered late by the 1st day of the following month and a $5 late fee might be charged.

Financial Responsibility *

I agree to all financial responsibility, paying tuition and fees according to the schedule set forth by APAC.

I understand the monthly financial commitment to APAC through the month of May and that there are NO REFUNDS past the four week grace period.

I understand that APAC reserves the right to discontinue services for any and all APAC related activities until the payment obligation is completed.

Accident Responsibility *

I acknowledge that APAC, its staff, and Board of Directors are not responsible for any accidents that may occur in and around the premises of its studio location or rehearsal and performance locations.