CLIPArts Winter 2023 Registration

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Thank you for your interest in the our free Winter/Spring production of Beauty and the Beast, Jr.

Note: Please complete one form for each child.

Rehearsal Times: January 9th - May 24, 2023

Mondays and Tuesdays, from 3:30 pm to 6:30 pm

Program Location: Christ Lutheran Church

3830 W Tulare Ave, Visalia, CA 93277

Performance Location: El Diamante High School Theatre

Wednesday May 24th - rehearsal; Thursday May 25th & 26th performances (specific times- tbd*)

* May 26 is the Friday of Memorial Day weekend.

** CLIPArts never shares your information with any third party. The Children's Online Privacy Protection Act and the California Online Privacy Protection Act and more are taken into account in our internal processing of any and all personal information.
*** CLIPArts' in-person classes follow CDC guidelines for the health and safety of children and staff.

Email *

Parent or Guardian's Full Name *

Parent or Guardian's Email Address *

Parent or Guardian's Mailing Address *

Child's Full Name *

Child's Birthdate *

YYYY

Any medical concerns of child of which CLIPArts needs to be aware (allergies, restrictions, etc.)? *

Parent of Guardian's Phone number *

Emergency Contact 1 (Name & Phone Number) *

Emergency Contact 2 (Name & Phone Number) *

Is the person who will be signing the child in/out each day already listed above as parent, guardian, or emergency contact? *

Yes

Please provide a name and a phone number for any additional persons who will be signing your child in or out of CLIPArts rehearsals.

Has your child attended CLIPArts in the past? *

Yes

I would like to allow CLIPArts to use pictures of my child from in-class rehearsals & performance in promotional materials for the program. *

Yes

CLIPArts is a free after school program for under-served children in Tulare County in grades 2 through 8.

Please indicate any qualifying factor(s) for this program. (Mark all that may apply).

Our family qualifies for reduced utilities. (electric, gas, water, etc.)

My child is in the foster care system.

Our family is considered low income.

We would not otherwise be able to afford to pay for instruction in the performing arts.

Other/Not Applicable

I'd prefer not to say.

Required

In addition to communication via email, you will be asked to join a closed Facebook CLIPArts parent group for updated information regarding the program and performance. Please answer the statement below that is appropriate for you. *

I understand.

That will be difficult for me.

I prefer communication via email.

I prefer communication via text.

Other:

Is there anything else you'd like to share with our CLIParts instructors? *

Please read and initial that you understand and agree with this statement: I recognize that CLIPArts is a place where attendance is required for program retention. Each child holds a place in the program that is of value that can benefit all children who want to learn and grow in the performing arts. As such, I understand and except the need for regular attendance, and acknowledge that it is a requirement for the program. *

Please read and initial that you understand and agree with this statement: I acknowledge and recognize that participation in dance and live theater activities through CLIPArts involve some inherent risk of personal injury, and I hereby voluntarily assume any and all risks related to my child’s participation in the program. *

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