Broadway Sacramento Conservatory Application

Please Select a Program

My student would like to be considered for the following program/s:(Required)

Intermediate (Tues/Thurs, 4:30-7:30pm)

Advanced (Mon/Wed, 4:30-7:30pm)

Acceptance to the program will be determined by the application and in-person audition/interview on January 5, 4-7pm. We will reach out to schedule your 30 minute audition/interview slot. Pod placement will be based on age, availability and current level of training.

Participant Information

Your Name(Required)

First Last

Nickname

(optional)

Grade Level in School(Required)

Age(Required)

Date of Birth(Required)

Month

Day

Year

Gender Identity/Preferred Pronouns

Please list any medical conditions, chronic ailments, allergic reactions, disabilities or school IEP accommodations that we should be aware of:

T-Shirt Size(Required)

If you chose 'Other' for T-Shirt size, Please let us know your desired size.

Parent/Guardian Contact Information

Name (Parent/Guardian 1)(Required)

First Last

Relationship to Participant(Required)

Your Address (Parent/Guardian 1)(Required)

Street Address Address Line 2 City ZIP Code

Mobile Phone (Parent/Guardian 1)(Required)

Email (Parent/Guardian 1)(Required)

Name (Parent/Guardian 2)

First Last

Relationship to Participant

Your Address (Parent/Guardian 2)

Street Address Address Line 2 City ZIP Code

Mobile Phone (Parent/Guardian 2)

Email (Parent/Guardian 2)

Is this person allowed to pick up/drop off the child?

Yes

Emergency Information

Emergency Contact(Required)

First Last

Relationship to Participant(Required)

Emergency Contact Mobile Phone(Required)

Will the participant be driving themselves?(Required)

Yes

Statement

Participants of the Broadway Sacramento Conservatory must have at least two years prior training or performance experience. Please enter a statement describing the applicants prior training or performance experience in theatre, acting, voice, music, or dance.(Required)

We are seeking to build a class of extremely dedicated students. Please have the applicant write a statement explaining why they want to receive musical theatre training at the Broadway Sacramento Conservatory, and how it will help them reach their future goals.(Required)

Scholarships

A limited number of scholarships are available for Broadway Sacramento Conservatory applicants.

I would like to apply for a Broadway Sacramento Conservatory Scholarship

STATEMENT: Please provide a brief statement from a parent or guardian defining the circumstances of the scholarship application request and why their child would benefit from the experience of attending the Broadway Sacramento Conservatory.(Required)

Releases

Release of Liability(Required)

I am aware that classes at Broadway Sacramento involve active activities, and I am voluntarily permitting my child to participate in these activities. I hereby agree to accept any and all risks of injury to my child/myself that may result therefrom. I agree that I will not make a claim against or sue Broadway Sacramento or any of its principals, employees, volunteers or agents for injury or damage resulting from the use of the facility or other acts. I hereby acknowledge and agree to release, indemnify, and hold harmless Broadway Sacramento, its principals, employees and agents, and to assume full responsibility for any loss or damage on account of injury to my child

Medical Emergency Release(Required)

In case of accident or an emergency, I hereby give my permission to the staff of Broadway Sacramento to authorize any emergency medical care that may be required during my child’s participation in classes and workshops. I authorize Broadway Sacramento to take my child to the nearest emergency hospital for emergency treatment and measures that are deemed necessary for the safety and protection of my child. I understand that Broadway Sacramento does not carry or maintain medical insurance coverage for any participant. I agree to take responsibility for full payment of any emergency medical costs related to my child’s participation regardless of whether I have insurance coverage. Broadway Sacramento staff can only administer limited first aid assistance (bandaids).

Authorization to Reproduce Physical Likeness(Required)

I expressly grant to Broadway Sacramento and to its employees and agents the right to photograph, film, or videotape my child and to use the resulting images in media promoting Broadway Sacramento and its activities. I further grant the right to record and reproduce my child’s voice and all instrumental, musical, and other sound effects produced by my child. I hereby certify and represent that I have read the foregoing and fully understand the meaning and effect thereof.

How did you hear about the Broadway Sacramento Conservatory program?

Have you or your child participated in a Broadway Sacramento education program in the past?

Camp Music Circus

Broadway At Music Circus Teens

Broadway At Music Circus Kids

Junior Company

Broadway on Tour Workshops

Musical Theatre Summer Intensives

Summer Dance Class Series

Broadway Sacramento Conservatory

Internship or Professional Assistant Program

Broadway Sacramento reserves the right to exercise discretion in accepting applicants.

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