ATY SUMMER YOUTH THEATRE CONSERVATORY REGISTRATION

Student Name *
Age on June 10 *
Parent/Guardian Name(s) *
Primary/Emergency
Phone Number
*

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Alt. Phone Number

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Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Email *
Conservatory Type *
 ACTORS CONSERVATORY (tuition $495) 
 FAIRYTALE CONSERVATORY (ages 5-8; tuition $295 tuition) 
Supplements
Actor's Conservatory Only
 Early Drop Off: 8-9am ($75) 
 Late Pick Up: 4-5pm ($75) 
 None/Not Applicable 
ACTORS CONSERVATORY ONLY -
PREFERENCES (CAN BE CHANGED LATER)
DISCOUNTS TO APPLY
If you selected Sibling Discount,
please supply the name of your sibling.
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