Fall 2026 Registration Form

Student's First name

Student's Last name

Student Phone

Student's Email

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Student's Birthday

Month

Day

Year

Age

Gender

Male

Female

Grade

Emergency Contact (other than parents name & phone #)

Rehearsals will be on Tuesdays and Thursdays from 6 - 8:30 p.m. and Saturdays 9 - 12 p.m. As we get closer to the show, Saturday rehearsals will likely be extended. Casting decisions are affected by attendance, so please prioritize attendance at all rehearsals.

Please briefly describe your prior experience with Arts in Motion (put N/A if you are joining us for the first time).

Please briefly describe your theatrical experience outside of Arts in Motion (this can include both onstage and backstage experience).

How many years of vocal training do you have?

How many years of dance training do you have?

Do you have any special or hidden talents you'd like to share with the Production Team? (Acrobatic tricks, gymnastics, foreign languages, weird human tricks, etc.)

Parents: Is there anything that the Production team or VP of Production should know about working with your child (special needs, social challenges)?

By checking this box, I acknowledge that 30 hours of volunteer participation is required during the rehearsal period and that should I choose to opt-out I will be billed $450.00.

Volunteer Hours Buy Out

By checking this box, I acknowledge that I, or another adult from my family, will volunteer in an assigned position during two (2) of the performances and that should I choose to opt-out, I will be billed $90.00 ($45.00 per show).

Show Day Support Buy Out

By checking this box, I am interested in participating with Arts in Motion at Access Broadway theater competition February 12-14 in Orlando, FL. I understand that there will be rehearsals in December and January as we plan to take 1-2 group numbers from Mary Poppins to competition. There is an additional fee estimated to be $55. Participants are welcome to register to bring solo, duets, or other groups numbers as well as monologues and scenes at their own expense.

By checking this box, I authorize Arts in Motion to use photographs and videos of my child(ren) taken during rehearsal and performances for promotional purposes on social media and other print material.

By checking this box, I authorize Arts in Motion to provide my child with an appropriate dose of the following over the counter medications: Tylenol (acetaminophen), Advil (ibuprofen), Tums (antacid)

Program Bio

Please draft a short bio for your child that will be included in the program. You can include name, age, grade, past experience, what they do in their free time etc. Bios may be shortened as needed for program space.

By signing below, I am giving my child permission to participate in AIM's Production of Mary Poppins and agree to be bound by the volunteer and fundraising requirements noted above.

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Registration Fees (remaining fees will be invoiced after auditions)

Annual Membership Fee (Membership runs July 1 - June 30th)$50

Production Fee Deposit (required of all to audition - non-refundable)$25