1. Student Information

Student First Name *

Student Last Name *

Student’s Age *

Student’s Grade (2025–2026 school year) *

School Student Attends

2.Parent / Guardian Information

Parent Guardian Name(s) *

Email Address (primary for communication) *

Primary Parent/Guardian Mobile Number *

Secondary Parent/Guardian Name

Secondary Parent/Guardian Email

Secondary Parent/Guardian Mobile Number

3. Emergency Contact

Emergency Contact Name (other than parent/guardian above) *

Emergency Contact Phone Number *

Emergency Contact Relationship to Student *

Who is authorized to pick up your child after class? *

4. About your child

What drew you to enroll your child in Storytellers? (Check all that apply)

Love of performing

Interest in musical theatre or acting

Wants to build confidence

Looking for a creative outlet

Hoping to develop communication and expression skills

Preparing for future auditions or performance opportunities

Wants to meet new friends and connect with peers

Trying something new outside of school

Recommended by a friend or teacher

Other (please specify)

What do you hope your child gains from this workshop?

More confidence speaking or performing in front of others

Stronger communication and storytelling skills

Improved focus, teamwork, and collaboration

Greater creativity and imagination

Healthy ways to express emotions and ideas

Tools for future auditions or performances

A fun, positive, social experience

Stronger stage presence and body awareness

Growth in listening, empathy, and ensemble skills

Other (please specify):

Anything else you’d like me to know about your child?

5.Logistics & Studio Info

How did you hear about Storytellers? *

Other (please specify)

If you were referred by someone, what is their name?

I understand that Storytellers is a 12-week workshop that meets Thursdays from 5:00–6:00 PM, January 15 through April 9, 2025, with a studio recital performance on Sunday, April 12 at 2:00 PM. *

I understand and agree.

I understand that tuition for this workshop is $160 for the full 12 weeks and is non-refundable once the workshop begins. Checkbox | Required

I understand and agree.

6.Circle Portal & Communication

Circle Studio Portal Agreement: The studio uses Circle as our online hub for announcements, reminders, and resources. Please confirm: *

I agree to join the Storytellers space inside the Circle portal once invited.

I agree to check the Circle portal (or email notifications from Circle) at least once per week for updates and reminders.

Preferred primary way to receive reminders

7. Photo and Video Release

Pictures and videos of students may be posted on the studio website, Instagram, Facebook Page, or included in studio publications with or without a first name attached as per parent request.

Please select your choice below.

Students who do not have the photo and video release on file will not be featured in studio publications or publicity in any form.

Photo and Video Release Options *

I herby give Opt-in Living Voice Studio permission to use photos and/or videos of my child along with their First Name in studio publications and publicity on the website and/or social media and/or pring media.

I herby give Opt-in Living Voice Studio permission to use photo and/or videos of my child WITHOUT their first name attached in studio publications and publicity on both the website and/or social media and/or print media

I DO NOT give Opt-in Living Voice Studio permission to use photo and/or videos of my child in studio publications and publicity. I also recognize that Opt-in Living Voice Studio is not responsible for photos or videos taken by other parents or students at Opt-in Living Voice Studio events such as recitals and will not hold Opt-in Living Voice Studios responsible should parents or students post said photos and/or videos to their personal social media accounts.

I understand the photo and video release *

Parent/Guardian Name
Date

8.Studio Policies Agreement

Click to read: fully policy

Studio Policies Agreement: By enrolling in Storytellers, you agree to the studio’s policies regarding attendance, behavior, communication, and payments, including: • Respectful behavior toward peers and teachers • On-time arrival and prompt pick-up • Letting the studio know in advance if your child will be absent • Commitment to creating a safe, encouraging environment for all students *

I have read and agree to the studio policies for Storytellers and Opt-In Living Voice Studio.

I understand that enrolling my child confirms my commitment to these expectations.

Digital Signature

Your signature *

Clear

Please type your full name to serve as your digital signature.

Today’s Date *