Office Use Only: Attach Photo
Classes: ______________________________
Date of Class: __________________________
Paid: _______________________________
Jack Rabbit: ___________________________
The School of Performing Arts
201 Parkwood Drive
Jacksonville, NC 28546
(910) 347-7565
theschoolofperformingarts@yahoo.com
Registration Form
Name: _________________ ______________________________________
(Last) (First) (MI)
Address: ______________________________ _____________________________________
(Number & Street) (City/State) (Zip)
Phone #s: (___)________________(___)__________________/______/__________________
(Home) (Cell) (Date of Birth – proof may be required)
E-mail’s: _________________________________________________________________________
(Parent’s) (Performer’s)
(If you have only one for your family, please list it in the parent section. You may receive weekly updates & announcements.)
School: ________________________ Grade: ____________ County: _________________
Height: _____________ Weight: __________ Male: _________ Female: _________
Employer: ____________________________________ Work Phone: _____________________
(Performer – if applicable)
__ ____________________________________________ Work Phone: _____________________
(Mother)
______________________________________________ Work Phone: _____________________
(Father)
______________________________________________ Work Phone: _____________________
(Guardian – if applicable)
Performers, Parents & Guardians: Do you belong to any service clubs or associations (i.e. Key Clubs, Rotary). If yes
list who belongs to which below:
____________________________________________________________________________
____________________________________________________________________________
Attendance Information
* It is expected that this production will be a priority commitment. Please read the Attendance Policy on the Rules
& Regulations Production Policies form.
Signature: ________________________________________ Date: __________________
Are you vacationing at any time during this production? If yes, list dates below:
Performing Experience and Training
Please list your performance and training experience below or attach a resume.
Note that previous experience and training is not required to participate with the SOPA.
DATE ______SHOW NAME ______ ROLE ______ SCHOOL/THEATRE ____ DIRECTOR
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Do you or a family member play a musical instrument? If yes, what instrument(s)?
______________________________________________________________________________
Previous experience is not required to participate with the SOPA. Please list your experience below or attach a
resume.
DATES _______TYPE________________ LEVEL ________________________ INSTRUCTOR ______
_____________________________________________________________________________________________
_____________________________________________________________________________________________
________________________________________________________________________________________ _____
ATTENTION ALL PERFORMERS AND FAMILIES
Volunteerism: It is the intent of the SOPA to foster volunteer opportunities, and to ensure that the weight of the responsibilities is
shared by many and not by a few. In an effort to ensure that the responsibilities necessary to mount a wonderful production for
our performers and their audiences are met, please consider volunteering your gifts, talents, and time to the SOPA.
Advertising and Promotional Release: I hereby consent to the reproduction and/or use of photographs, video tapes and film or
audio recordings of myself (or my child/charge) for advertising and promotional purposes by the SOPA. In order to participate in
the SOPA, the following signatures are required.
Performer’s Signature: ___________________________________________________ Date:_____________
Parent/Guardian Signature: _______________________________________________ Date:_____________
(If performer is under 18 years of age)
The School or Performing Arts
Authorization to Consent to Medical Treatment
I (We), the undersigned, do hereby authorize representatives of the SOPA (such representatives to be employees, directors,
Auxiliary members or identified volunteers) to serve as agents for the undersigned to consent to any X-ray exam, anesthetic,
medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general
or specific supervision of any physician or surgeon on the medical staff of any hospital licensed by the State of North Carolina
whether such diagnosis or treatment is rendered at the office of said physician or at said hospital or some other site.
It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but
is given to provide authority and power on the part of the aforesaid agent to give specific consent to any and all such diagnosis,
treatment or hospital care which the aforementioned physician in the exercise of his best judgment may deem available.
Release and Waiver of Liability
We, the student and guarantor, if applicable, on behalf of ourselves, member of our family, our heirs, executors, administrators
and assigns, hereby forever release, discharge and hold harmless, The School of Performing Arts, representatives and agents for
any injury, loss, or damage to my person or property howsoever caused, arising out of or in connection with my participation in
any SOPA function and notwithstanding that the same may have been contributed to or occasioned by the negligence of The School
of Performing Arts Representatives or agents.
The authorization shall remain valid for the duration of the participant’s current registration with the SOPA.
IN CASE OF AN EMERGENCY
Name of Participant: ____________________________________________________________
_____________________________________________________________________________
(Mother) (Father) (Guardian)
Name__________________________________________________________________________________________
Day
Phone__________________________________________________________________________________________
Evening
Phone_______________________________________________________________________________________
Cell
Phone__________________________________________________________________________________________
Insurance Co.: ______________________________ Policy #:__________________________
Policy Holder Name & Phone: ___________________________ ( )__________________
Any known allergies? __________________________________________________________
Any known medical conditions or chronic ailments? __________________________________
For the safety of my child/myself as well as others, I have disclosed all medical information regarding the performer. I understand
that failure to disclose any of the above information could result in my child’s/my exclusion and/or dismissal from the production.
____________________________________________________________________________
(Signature, parent or guardian if under 18) (Date)
Rules and Regulations
Teamwork is the key to the success of the SOPA. We require commitment and cooperation from everyone involved. The SOPA
provides a stimulating and exciting environment within which to work, but there are expectations for behavior that must be met
in order to maintain it.
No alcohol. No drugs. No smoking. Please note that violations will result in immediate dismissal from a production and the proper
authorities will be contacted when applicable.
Pay attention and follow the requests of staff, parents and supervisors at all times.
No swearing. Be aware of your conversation topics around younger participants.
Display the highest standards of respect for self and others.
No inappropriate public display of affection.
No exploring. Do not leave the rehearsal/theatre premises without supervision and do not loiter in the parking lot after rehearsals.
No littering. Clean up after yourself.
Only bottled water is allowed in the SOPA and host facilities.
Flagrant and/or persistent violations of the SOPA’s Rules and Regulations will result in the implementation of disciplinary
procedures that begin with a referral to the Director of SOPA and notification to parents or guardians.
These Rules and Regulations will be strictly enforced at all facilities used by the SOPA.
I/We have read the above Rules and Regulations and accept responsibility for the possible consequences of violating them. I/We
have also read the Production Policies and agree to follow them without dispute.
Performer’s Name (Print): _______________________________________________________
Performer’s Signature: ____________________________________ Date: ____________
If performer is under 18, or 18-20 and still living at home, please provide the following:
Parent or Guardian Name (Print): ________________________________________________
Parent or Guardian Signature: _____________________________ Date: ____________
PRODUCTION POLICIES
AGE REQUIREMENT
Performers must be of the advertised age by first day of classes for any production. The SOPA reserves the right to request proof of
age at any time.
When age requirements for productions overlap or special auditions are held, it is the staff’s responsibility to assess and place an
auditionee in the production that will best serve the auditionee.
WITHDRAWING FROM A PRODUCTION
If you withdraw from a production for any reason, you will not be allowed to audition for the next production you are eligible for
unless you are excused by the Director for extenuating circumstances. It is your responsibility to inform the SOPA of your
circumstance within one week of withdrawing from a production in order to be cleared for the next audition. There will be no
refund due if withdrawal from a production should occur.
Call 910-347-7565 to withdraw from a production.
ATTENDANCE REQUIREMENTS
Each performer is required to attend all of his/her scheduled rehearsals. All conflicts must be communicated to the staff using the
Production Registration Form. Even if conflicts are reported in advance, be aware that missing rehearsal may prevent you from
being staged into scenes and musical numbers.
Absences from rehearsals may be made up at a different location. There is no reduction in tuition due to missed classes.
Rehearsal schedules are subject to change to make the most productive use of time.
Some cast members may be asked to participate in all performances when roles are not double cast or technical support is needed.
COSTUMES
Performers are responsible for acquiring their own costumes; principals will typically have multiple costumes. The SOPA will
provide the guidance you will need (i.e. patterns, materials to choose, etc.) to satisfy your costume requirements.
Costs vary with each production. Low cost is a main priority during design.
VOLUNTEERISM AND GETTING INVOLVED
SOPA is a family-oriented organization and all parents, guardians, and family members are encouraged to get involved in the
productions of SOPA by helping with sets, supervision, costumes, props, etc.
GENERAL POLICIES
Notify staff regarding any special circumstances or medical requirements you might have.
Parents/Guardians must check for adult supervision before leaving their participants at rehearsals.
Parents/Guardians must pick-up their participant at the designated time and no later.
No video or photography of any kind is allowed during “Production Week.”
No open toed-shoes (i.e. sandals) are to be worn at any SOPA facility or theatre venue.
Performers must participate in the full audition process to be cast (includes vocal, dance, callbacks if applicable, etc).
Auditionees must audition at one of the published audition dates and times. No auditionees will be allowed to audition outside of
these dates unless prior arrangements have been made through the Director. If special arrangements are made and you give a full
audition prior to the published auditions (videotapes acceptable), you will be eligible for all roles. If your special audition is after
the published auditions, you will be cast, but not eligible for principal roles.
Agreement
Tuition is due at the FIRST LESSON OF THE MONTH. A late fee of $20.00 will be charged for payments received after the 10th of
the month. NO REFUNDS will be given for private lessons missed by you if you do give 24 hour notice. With such notice attempts
will be made to give a make-up lesson. Without such notice, there will be no make-up lesson. All tuition and fees must be paid for
the student to perform in the productions and recitals. Since there are many locations for lessons and theatre classes, please mail
monthly tuition to:
The School of Performing Arts, 201 Parkwood Drive, Jacksonville, NC 28546
________________________________________________ (name of student) will study
___________________________ (name of class or instrument) starting on ____________. I,
________________________, parent/guardian of ____________________, agree to pay the monthly tuition of
$______________ for the year beginning ______________________ and ending _______________________.
Terms
If you wish to cancel this agreement, you may cancel this agreement within three (3) business days by signing and mailing a
written notice by certified or registered mail to the school. The notice must say that you do not wish to be bound by this agreement
and must be delivered or mailed before midnight of the third business day after you sign this agreement. The notice must be
delivered or mailed to:
The School of Performing Arts, 201 Parkwood Drive, Jacksonville, NC 28546
_____________________________________________________ ____________________________________
The School of Performing Arts Parent or Co-signer (if under 18) (Date)
Representative
______________________________ ____________________________________
Performer’s Signature (Date)
Classes: ______________________________
Date of Class: __________________________
Paid: _______________________________
Jack Rabbit: ___________________________
The School of Performing Arts
201 Parkwood Drive
Jacksonville, NC 28546
(910) 347-7565
theschoolofperformingarts@yahoo.com
Registration Form
Name: _________________ ______________________________________
(Last) (First) (MI)
Address: ______________________________ _____________________________________
(Number & Street) (City/State) (Zip)
Phone #s: (___)________________(___)__________________/______/__________________
(Home) (Cell) (Date of Birth – proof may be required)
E-mail’s: _________________________________________________________________________
(Parent’s) (Performer’s)
(If you have only one for your family, please list it in the parent section. You may receive weekly updates & announcements.)
School: ________________________ Grade: ____________ County: _________________
Height: _____________ Weight: __________ Male: _________ Female: _________
Employer: ____________________________________ Work Phone: _____________________
(Performer – if applicable)
__ ____________________________________________ Work Phone: _____________________
(Mother)
______________________________________________ Work Phone: _____________________
(Father)
______________________________________________ Work Phone: _____________________
(Guardian – if applicable)
Performers, Parents & Guardians: Do you belong to any service clubs or associations (i.e. Key Clubs, Rotary). If yes
list who belongs to which below:
____________________________________________________________________________
____________________________________________________________________________
Attendance Information
* It is expected that this production will be a priority commitment. Please read the Attendance Policy on the Rules
& Regulations Production Policies form.
Signature: ________________________________________ Date: __________________
Are you vacationing at any time during this production? If yes, list dates below:
Performing Experience and Training
Please list your performance and training experience below or attach a resume.
Note that previous experience and training is not required to participate with the SOPA.
DATE ______SHOW NAME ______ ROLE ______ SCHOOL/THEATRE ____ DIRECTOR
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Do you or a family member play a musical instrument? If yes, what instrument(s)?
______________________________________________________________________________
Previous experience is not required to participate with the SOPA. Please list your experience below or attach a
resume.
DATES _______TYPE________________ LEVEL ________________________ INSTRUCTOR ______
_____________________________________________________________________________________________
_____________________________________________________________________________________________
________________________________________________________________________________________ _____
ATTENTION ALL PERFORMERS AND FAMILIES
Volunteerism: It is the intent of the SOPA to foster volunteer opportunities, and to ensure that the weight of the responsibilities is
shared by many and not by a few. In an effort to ensure that the responsibilities necessary to mount a wonderful production for
our performers and their audiences are met, please consider volunteering your gifts, talents, and time to the SOPA.
Advertising and Promotional Release: I hereby consent to the reproduction and/or use of photographs, video tapes and film or
audio recordings of myself (or my child/charge) for advertising and promotional purposes by the SOPA. In order to participate in
the SOPA, the following signatures are required.
Performer’s Signature: ___________________________________________________ Date:_____________
Parent/Guardian Signature: _______________________________________________ Date:_____________
(If performer is under 18 years of age)
The School or Performing Arts
Authorization to Consent to Medical Treatment
I (We), the undersigned, do hereby authorize representatives of the SOPA (such representatives to be employees, directors,
Auxiliary members or identified volunteers) to serve as agents for the undersigned to consent to any X-ray exam, anesthetic,
medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general
or specific supervision of any physician or surgeon on the medical staff of any hospital licensed by the State of North Carolina
whether such diagnosis or treatment is rendered at the office of said physician or at said hospital or some other site.
It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but
is given to provide authority and power on the part of the aforesaid agent to give specific consent to any and all such diagnosis,
treatment or hospital care which the aforementioned physician in the exercise of his best judgment may deem available.
Release and Waiver of Liability
We, the student and guarantor, if applicable, on behalf of ourselves, member of our family, our heirs, executors, administrators
and assigns, hereby forever release, discharge and hold harmless, The School of Performing Arts, representatives and agents for
any injury, loss, or damage to my person or property howsoever caused, arising out of or in connection with my participation in
any SOPA function and notwithstanding that the same may have been contributed to or occasioned by the negligence of The School
of Performing Arts Representatives or agents.
The authorization shall remain valid for the duration of the participant’s current registration with the SOPA.
IN CASE OF AN EMERGENCY
Name of Participant: ____________________________________________________________
_____________________________________________________________________________
(Mother) (Father) (Guardian)
Name__________________________________________________________________________________________
Day
Phone__________________________________________________________________________________________
Evening
Phone_______________________________________________________________________________________
Cell
Phone__________________________________________________________________________________________
Insurance Co.: ______________________________ Policy #:__________________________
Policy Holder Name & Phone: ___________________________ ( )__________________
Any known allergies? __________________________________________________________
Any known medical conditions or chronic ailments? __________________________________
For the safety of my child/myself as well as others, I have disclosed all medical information regarding the performer. I understand
that failure to disclose any of the above information could result in my child’s/my exclusion and/or dismissal from the production.
____________________________________________________________________________
(Signature, parent or guardian if under 18) (Date)
Rules and Regulations
Teamwork is the key to the success of the SOPA. We require commitment and cooperation from everyone involved. The SOPA
provides a stimulating and exciting environment within which to work, but there are expectations for behavior that must be met
in order to maintain it.
No alcohol. No drugs. No smoking. Please note that violations will result in immediate dismissal from a production and the proper
authorities will be contacted when applicable.
Pay attention and follow the requests of staff, parents and supervisors at all times.
No swearing. Be aware of your conversation topics around younger participants.
Display the highest standards of respect for self and others.
No inappropriate public display of affection.
No exploring. Do not leave the rehearsal/theatre premises without supervision and do not loiter in the parking lot after rehearsals.
No littering. Clean up after yourself.
Only bottled water is allowed in the SOPA and host facilities.
Flagrant and/or persistent violations of the SOPA’s Rules and Regulations will result in the implementation of disciplinary
procedures that begin with a referral to the Director of SOPA and notification to parents or guardians.
These Rules and Regulations will be strictly enforced at all facilities used by the SOPA.
I/We have read the above Rules and Regulations and accept responsibility for the possible consequences of violating them. I/We
have also read the Production Policies and agree to follow them without dispute.
Performer’s Name (Print): _______________________________________________________
Performer’s Signature: ____________________________________ Date: ____________
If performer is under 18, or 18-20 and still living at home, please provide the following:
Parent or Guardian Name (Print): ________________________________________________
Parent or Guardian Signature: _____________________________ Date: ____________
PRODUCTION POLICIES
AGE REQUIREMENT
Performers must be of the advertised age by first day of classes for any production. The SOPA reserves the right to request proof of
age at any time.
When age requirements for productions overlap or special auditions are held, it is the staff’s responsibility to assess and place an
auditionee in the production that will best serve the auditionee.
WITHDRAWING FROM A PRODUCTION
If you withdraw from a production for any reason, you will not be allowed to audition for the next production you are eligible for
unless you are excused by the Director for extenuating circumstances. It is your responsibility to inform the SOPA of your
circumstance within one week of withdrawing from a production in order to be cleared for the next audition. There will be no
refund due if withdrawal from a production should occur.
Call 910-347-7565 to withdraw from a production.
ATTENDANCE REQUIREMENTS
Each performer is required to attend all of his/her scheduled rehearsals. All conflicts must be communicated to the staff using the
Production Registration Form. Even if conflicts are reported in advance, be aware that missing rehearsal may prevent you from
being staged into scenes and musical numbers.
Absences from rehearsals may be made up at a different location. There is no reduction in tuition due to missed classes.
Rehearsal schedules are subject to change to make the most productive use of time.
Some cast members may be asked to participate in all performances when roles are not double cast or technical support is needed.
COSTUMES
Performers are responsible for acquiring their own costumes; principals will typically have multiple costumes. The SOPA will
provide the guidance you will need (i.e. patterns, materials to choose, etc.) to satisfy your costume requirements.
Costs vary with each production. Low cost is a main priority during design.
VOLUNTEERISM AND GETTING INVOLVED
SOPA is a family-oriented organization and all parents, guardians, and family members are encouraged to get involved in the
productions of SOPA by helping with sets, supervision, costumes, props, etc.
GENERAL POLICIES
Notify staff regarding any special circumstances or medical requirements you might have.
Parents/Guardians must check for adult supervision before leaving their participants at rehearsals.
Parents/Guardians must pick-up their participant at the designated time and no later.
No video or photography of any kind is allowed during “Production Week.”
No open toed-shoes (i.e. sandals) are to be worn at any SOPA facility or theatre venue.
Performers must participate in the full audition process to be cast (includes vocal, dance, callbacks if applicable, etc).
Auditionees must audition at one of the published audition dates and times. No auditionees will be allowed to audition outside of
these dates unless prior arrangements have been made through the Director. If special arrangements are made and you give a full
audition prior to the published auditions (videotapes acceptable), you will be eligible for all roles. If your special audition is after
the published auditions, you will be cast, but not eligible for principal roles.
Agreement
Tuition is due at the FIRST LESSON OF THE MONTH. A late fee of $20.00 will be charged for payments received after the 10th of
the month. NO REFUNDS will be given for private lessons missed by you if you do give 24 hour notice. With such notice attempts
will be made to give a make-up lesson. Without such notice, there will be no make-up lesson. All tuition and fees must be paid for
the student to perform in the productions and recitals. Since there are many locations for lessons and theatre classes, please mail
monthly tuition to:
The School of Performing Arts, 201 Parkwood Drive, Jacksonville, NC 28546
________________________________________________ (name of student) will study
___________________________ (name of class or instrument) starting on ____________. I,
________________________, parent/guardian of ____________________, agree to pay the monthly tuition of
$______________ for the year beginning ______________________ and ending _______________________.
Terms
If you wish to cancel this agreement, you may cancel this agreement within three (3) business days by signing and mailing a
written notice by certified or registered mail to the school. The notice must say that you do not wish to be bound by this agreement
and must be delivered or mailed before midnight of the third business day after you sign this agreement. The notice must be
delivered or mailed to:
The School of Performing Arts, 201 Parkwood Drive, Jacksonville, NC 28546
_____________________________________________________ ____________________________________
The School of Performing Arts Parent or Co-signer (if under 18) (Date)
Representative
______________________________ ____________________________________
Performer’s Signature (Date)
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