Registration Form, Academy of the Arts, UA Fort Smith

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Registration Form

If student is under 18 years old
Student's First Name*		Middle Name
Last Name*		Nickname
Gender*	Male Female	Date of Birth*
Address*
City*
State*		Zip*
Home phone*
Work Phone*	Phone number is for: Parent Guardian Student
Cell Phone	Phone number is for: Parent Guardian Student
Email

School
Grade
Parent/Guardian name(s)*
Parent/Guardian Email

Private Music Instruction (Your instructor will call you to arrange your lesson time.)
Instrument	Piano Voice Flute Clarinet Trumpet Trombone French Horn Grades 7-9 (Tuesday 4:00 p.m.-5:30 p.m.) French Horn Grades 10-12 (Monday 4:00 p.m.-5:30 p.m.) Euphonium Tuba Percussion Drum Team (Monday 5:00 p.m. - 6:30 p.m.) Guitar
Preferred Day of the Week	Monday Tuesday Wednesday Thursday Friday Saturday
Preferred Instructor
Fall 2008	30 Minutes 45 Minutes 60 Minutes
Spring 2009	30 Minutes 45 Minutes 60 Minutes

Choirs
	Children's Choir (Wednesday 4:00 p.m.-5:30 p.m.) Show Choir - by audition (Monday 4:00 p.m.-5:30 p.m.)

Young Actors Guild
Fall 2008	Acting Academy Junior Level Grades 3-6 (Tuesday 3:30 p.m.-4:30 p.m.) Acting Academy Senior Level Grades 7-9 (Tuesday 4:30 p.m.-5:30 p.m.) Acting for High School Students Grades 10-12 (Tuesday 5:30 p.m.-6:30 p.m.) YAG Players (Tuesday/Thursday 3:45 p.m.-5:15 p.m.)
Spring 2009	Acting Academy Junior Level Grades 3-6 (Tuesday 3:30 p.m.-4:30 p.m.) Acting Academy Senior Level Grades 7-9 (Tuesday 4:30 p.m.-5:30 p.m.) Acting for High School Students Grades 10-12 (Tuesday 5:30 p.m.-6:30 p.m.) YAG Players (Tuesday/Thursday 3:45 p.m.-5:15 p.m.)

KinderKidz
	Kool Katz Ages 3-5 (Friday 9:00 a.m. - 9:50 a.m.) Kool Katz Ages 3-5 (Saturday 9:00 a.m. - 9:50 a.m.) Boogie Woogie Bearz Ages 5-7 (Friday 10:00 a.m. - 10:50 a.m.) Boogie Woogie Bearz Ages 5-7 (Saturday 10:00 a.m. - 10:50 a.m.)

Special Events
	Spring Break Theatre Camp (March 23-27 at Breedlove Auditorium)

Season Tickets
	Distinguished Artists Series Season Tickets ShowTime Series Season Tickets

Yes, I would like to be part of a parent support group. I am willing to help with Academy activities.

* Denotes a required field.

UA Fort Smith requires that a parental consent form be completed and returned to Dr. Walker or your instructor.

The Academy of the Arts is a division of the Center for Lifelong Learning. UA Fort Smith reserves the right to use photos and videos of all Academy students in promoting the arts.

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Fall/Spring Programs

Performance Series

Summer Programs

General Information

Registration Forms

Summer Registration Form

KinderKidz Summer Camp 2009

Summer Camp Explozion 2009 Registration Form

Fall 09 Acting Classes / Readers Theatre

Fall 09 Art Classes

Fall 09 Childrens Choir and Show Choir Kidz

Fall 09 Choir Audition Form

Fall 09 Musikgarten

Fall 09 Private Lessons / Drum Team

Fall 09 YAG Players

Spring 10 Acting Classes / Readers Theatre

Spring 10 Art Classes

Spring 10 Childrens Choir and Show Choir Kidz

Spring 10 Private Lessons / Drum Team

Spring 10 Musikgarten

Spring 10 YAG Players

Spring 10 Schoolhouse Rock Live

Kaleidicon Scholarship Application Form

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