Student Name
*
First Name
Last Name
Date of Birth
MM
DD
YYYY
I would like to register for:
Student Phone (if any)
(###)
###
####
Student Email Address (if any)
Contact Parent
*
First Name
Last Name
Contact Parent Phone
*
(###)
###
####
Contact Parent Email Address
*
Additional Info
(Optional) Please include any allergies/medical conditions or other info we should be aware of to keep Firebird a safe and healthy environment for you!
Registration Agreement
*
By submitting this form, I confirm that:
- I am either 18+ years of age, or registering for this program with a parent/guardian's approval.
- I am able to attend the dates on the program schedule, and complete outside homework (if any).
- I agree to follow program rules and policies provided by my instructor.
- I will pay the class fee to finalize my registration.
Health & Safety Agreement
*
By submitting this form, I confirm that:
- I agree to follow Firebird's health & safety protocols during my participation in the program.
- I agree to wear a face mask (if requested) when attending in-person programs.
- I agree to communicate with my instructors about potential health risks, and will not attend if sick.
Photo/AV Waiver
*
The Firebird Project reserves the right to use any and all photos and audio/video
recordings taken by our invited photographers and videographers during rehearsals,
performances, workshops, classes and social events on our webpages, in Internet and
print publications about Firebird, in video clips and documentaries featuring Firebird, in
national and regional competition-related materials, and in The Firebird Project’s other
promotional materials. I hereby release The Firebird Project and its legal representatives
from all claims and liability relating to said photographs and video recordings.
How did you hear about us?
--Select One--
I am a returning student
Referred by Friends & Family
Referred by a Teacher
Community Email List/Facebook Group
Social Media Advertisement
Flyer/Print Media
Online Article
Other
If you picked Other, could you please elaborate?
Thank you! We’re so thrilled to have you joining the Firebird family for this upcoming season of classes.
To finalize your registration, please pay the program fee by clicking the button below. You’ll be redirected to our payment portal, where you can pay via PayPal or using your credit/debit card. Once you’re done, you should receive an email confirmation that your registration is complete! If you have any questions, feel free to email programs@thefirebirdproject.org .
