Workshops!
Silverton's 2nd Annual "Thriller in the Streets" Halloween event!
Thank you to all 100+ people who participated in any of our 8 Thriller workshops offered this year between August and October! Our Thriller workshops for the year have now come to a close. For those of you who are interested in participating in next years Thriller in the Streets event, please be sure to start checking our website around July of 2010, when we will begin posting our workshop dates. We have enjoyed offering this FREE public event and community service and hope that you too will join us in the Thriller fun!
Other Workshops
AAPAC offers quarterly workshops in a variety of classes such as ballroom, musical theatre, nutrition, stage make-up, auditioning techniques and more.
Currently there are no workshops scheduled until after the New Year. Please check our website periodically for updates and availability. Thank you!
How to register for Workshops
Space is limited to a maximum of 15 people per workshop. Your place in the workshop is only confirmed when payment and personal information is received (no exceptions, sorry). We won't deposit your check until after the workshop has been completed; refunds are not given for "no-shows". To register, call 503-873-0464 or email martadancn@msn.com with your full name, age, phone #, and the workshop you'd like to take, and mail your check or money order to AAPAC c/o Workshops PO BOX 939 Silverton, OR 97381.
Please copy and paste this lower portion and mail it to the information above:
Registration forms are required for each individual student. Please write legibly.
Students Full Name: ____________________________________ Date of Birth _________ Age (as of 9/09)____ ______
Home Phone: ________________________ __Email (required for communication) __________________________________
Address _________________________________________City ___________________ State ______ Zip ____________
Mother/Parent/Guardian #1 _____________________________________Work Phone #_________________________
Cell Phone # _____________________
Father/Parent/Guardian #2 ______________________________________Work Phone #_________________________
Cell Phone # _____________________
Emergency contact (if different from parent’s cell phones)
Name ________________________________________________________ Phone # ____________________________
American Academy of Performing Arts Co. will NOT release any of the above information to anyone outside of the studio without your permission.
For New Students Only
Previously Trained with __________________________________________ How long? ______________ years
How did you find American Academy of Performing Arts Co? (e.g. web, friend, newspaper, other) ________________
Please include all requested workshop dates and times in the schedule below, listed in order of first choice and so on.
Sample: Class ___Intermediate Ballet________ Day __Tuesday & Thursday__ Time __7:30-8:45 pm
Class _______________________________Day ___________________________ Time _________________
Class _______________________________ Day ___________________________ Time _________________
Class _______________________________ Day ___________________________ Time _________________
Class _______________________________ Day ___________________________ Time _________________
Photo Permission
Occasionally we like to use student’s photographs from classes or performances in our brochures, flyers, or on the web site. Please sign below if you give us your permission to use your child’s photograph.
I give American Academy of Performing Arts Co. permission to use my daughter/son’s photograph(s) in publications and/or on the website.
Student Name___________________________________Parent /Guardian Signature____________________________________
Liability Waiver/Release
2009/2010
Must be signed for student to participate in classes and performances. Please read carefully before signing.
I _______________________________________________, the enrolled participant and/or the parent/guardian of the participant
agree and understand that dance/fitness training is a potentially hazardous activity. I recognize that there are risks inherent in dance
training including, but not limited to, serious physical injury. The participant hereby agrees to participate in activities of the American Academy of Performing Arts Co. of Oregon and hereby agrees to indemnify and hold harmless American Academy of Performing Arts Co, its instructors, officers, directors, agents and employees against any liability resulting from any injury that may occur to the participant while participating in activities of the American Academy of Performing Arts Co. The participant also agrees to indemnify American Academy of Performing Arts Co. for any damages incurred arising from any claims, demand, action or course of action by the participant. The participant authorizes any representative of American Academy of Performing Arts Co. to have the participant treated in any medical emergency during their participation in activities of the American Academy of Performing Arts Co. Further, the participant and/or parent/guardian agree to pay all costs associated with medical care and transportation for the participant.
Any special medical/health/social problems or needs of which the staff should be aware are outlined here (please include any learning disorders, autism, ADD, ADHD, Asbergers, allergies and previous injuries):_____________________________________________________________________________________________________________________________________________________
I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENT AND
SIGNIFICANCE. ADDITIONALLY, I HAVE READ AND AGREE TO ABIDE BY ALL STUDIO POLICIES AND PROCEDURES.
____________________________________________________________________
Student’s Name (please print)
____________________________________________________________________
Signed Date
____________________________________________________________________
Parent/Guardian (if participant is under 18) (please print)
____________________________________________________________________
Signed Date
