Educational Arts Enrollment Form

EDUCATIONAL ARTS ENROLLMENT FORM

Student Information

Date of Birth:    Student ID (if assigned):

Enrollment Details

Select Program(s) (check all that apply):
Visual Arts    Music    Dance    Theater    Mixed Media / Workshops

Tuition & Payment

Tuition Amount: $    Deposit (non-refundable): $

Payment Plan (select one):
Full payment at enrollment    Monthly installments    Scholarship / Financial assistance applied

Payment Method:
Credit / Debit Card    Check    Bank Transfer

Emergency & Medical Information

Permissions, Consents & Policies

Participation Consent: I hereby grant permission for the named student to participate in the selected Educational Arts program activities, including rehearsals, studio work, performances, and supervised field trips. I acknowledge that participation may involve physical activity and inherent risks.

Medical Authorization: In the event of an emergency, I authorize program staff to provide or obtain necessary first aid and emergency medical treatment for the student. If professional medical attention is required, I authorize emergency transport to an appropriate medical facility.

Release of Liability: To the fullest extent permitted by law, I release the program, instructors, volunteers, and facility owners from liability for injuries, claims, or damages arising out of participation, except for gross negligence or willful misconduct.

Refund & Withdrawal Policy: A non-refundable deposit is required to secure enrollment. Tuition refunds will be issued only in accordance with the program's published refund schedule: full tuition refund less deposit if withdrawal is received at least two weeks prior to the start date; 50% refund if withdrawal is received within one week prior to start; no refund after the first scheduled class unless otherwise required by law. All withdrawals must be submitted in writing.

Attendance & Conduct: Regular attendance is expected. The program reserves the right to suspend or dismiss a student for behavior that endangers others, disrupts instruction, or violates the code of conduct. No tuition refund will be provided for dismissal due to misconduct.

Media Release: I authorize the program to use photographs, audio, and video recordings of the student for educational, promotional, and archival purposes. I understand that the student will not be identified by personal address or contact information in publicly distributed media without further consent.

Privacy & Records: The information collected on this form will be used to administer enrollment, maintain student records, and contact guardians in an emergency. I acknowledge the program's right to maintain academic and attendance records in accordance with applicable privacy laws.

Acknowledgements (check boxes to indicate agreement):
I consent to participation and have read the Participation Consent paragraph above.
I authorize emergency medical treatment as described above.
I acknowledge and agree to the Release of Liability terms.
I grant the Media Release permissions described above.
I have read and accept the Refund & Withdrawal Policy.

Parent / Guardian Information (if student is a minor)

Certification & Signature

Certification: By signing below, I certify that the information provided on this Enrollment Form is true and complete to the best of my knowledge. I affirm that I have the legal authority to enroll the student named above (as parent, legal guardian, or student aged 18 or older). I agree to comply with program policies and to be responsible for all tuition and fees assessed in accordance with the Payment Plan selected above.

Sign Now