Student Information

First Name *

Last Name *

Gender *

Birth Date * +

Current Grade *

Please select either the full week or camp days *

Kinderdrama ($80): Ages 3-5: Wednesdays 3:45-4:30

Young Performers I ($120): Ages 6-9: Mondays 4:30-5:30

Young Performers II ($120): Ages 10-13: Mondays 6:15-7:15

Advanced Acting ($120): Ages14-18: Tuesday 4:30-5:30

Household / Adult Primary Contact

Relationship to Participant: *

First Name *

Last Name *

Address 1 *

City *

State *

Zip *

Daytime Phone *

Alternate Phone

Email Address for SABA communication *

Other Emergency Contact

Relationship to Participant: *

First Name *

Last Name *

Daytime Phone *

Alternate Phone

Email Address

Student Additional Info (answer n/a if not applicable)

Food Allergies if any *

Please list any medical conditions that would be helpful for our staff: *

Release Forms: PLEASE SIGN

By signing this, I acknowledge that I understand that tuition is due by the first day of class and will not be refundable after the second week of class. Failure to make payment dates or pay tuition could result in your child's removal from the SABA programs. I understand that I am solely responsible for all medical expenses incurred by my child(ren) while enrolled in SABA’s programs. Consent is also hereby given for my child(ren), while a student(s) at SABA, to participate in photographs or videos taken for approved publicity. *

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Optional Payment on File

Please select your payment method for remaining tuition *

Pay with credit card below ( **please note that all credit cards are ran manually in our office)

Pay with Check in office first day

Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

Full Billing Address

CVV: