Single Child Online Registration

Online Registration Form- Registering a single child

* Indicates required field

Students Name *

First

Last

School *

Grade *

Date of Birth *

New or Returning Student *

Age *

How did you hear about us *

Parent / Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Number *

Work # *

email address *

Emergency Form: Authorization to Seek Medical Treatment
I, the Undersigned, do hereby authorize representatives of J&S Center to serve as agents for the undersigned to consent to any x-ray exam, anesthetic , medical examinations, diagnosis, medical treatment, and hospital care which is deemed advisable by and is rendered under the general or specific supervision of any physician or surgeon licensed under the provisions of the Medical Practice Act or the medical staff of any hospital licensed by the State of California whether such diagnosis of treatment is rendered at the office of said physician or at said hospital or some other site. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given to provide authority and power on the part of the aforesaid agent to give specific consent to any and all such diagnosis, treatment and hospital care which the aforementioned physician in the exercise of his best judgment may deem necessary

Please provide three Contact phone numbers for your child

Students Name *

Parent Name *

Date *

Emergency phone # *

Name of Emergency Contact *

Relationship *

Phone # *

Name of Emergency Contact *

Relationship *

Phone # *

Name of Emergency Contact *

Relationship *

Phone # *

Primary Care Physician *

Phone Number *

Insurance Company *

Policy # *

Drug Allergies *

Food Allergies *

Current Medications *

Are there any other problems of which our staff should be aware? Please share pertinent information with us. We will keep it confidential. We are educators and only have your child’s welfare in mind

Please comment here *

Submit

Please select the show you are registering for below and pay the tuition and registration fee.
The tuition includes the cost of the production, registration fee and the convenience fee of 3%.

Payment Plan
If you want a Payment Plan, call our office at 707-449-1200 to arrange this. An invoice will be sent to you with all the payments. Once the first payment is paid for and your online application is submitted, your child is enrolled.

Withdrawal and Refunds:
All requests to withdraw a student must be submitted in writing.
If you withdraw prior to the first rehearsal, a full refund (minus the registration fee) will be refunded. After the first rehearsal no refunds will be made under any circumstances.

Charge Cards:
There will be a 3% convenience fee added to the amount when using a charge card. It is calculated in the tuition that you are paying. Checks that are returned and debit or credit cards that can’t be processed will be subject to a $25 extra fee.

The Aristocats-Suisun

$386.25

Suisun locationof The Aristocats Kids already has the $25 registration fee included in the total price,

Who: Grades 1-6

Where: Harbor Theater@ 720 Main St. Suisun City

When: Mon 5:30-7:00pm & Sat 11:00-1:00pm

First Rehearsal: Feb 15 @ Harbor Theater Suisun

Tech Week: April 27-30

Production Dates: May 1-3

Tuition $350 plus$25 Registration fee

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The Aristocats-Vacaville

$386.25

Vacaville locationof The Aristocats Kids already has the $25 registration fee included in the total price,

Who: Grades 1-6 (Kindergarten on an individual basis)

Where: 330 Cernon St. Vacaville (Rehearsals & Performances)

When: Thurs 5:30-7:00 & Sat 2:00-3:30

*Times will change slightly after auditions

First Rehearsal: Feb 22 @ J&S

Tech Week: May 25-28

Production Dates: May 29-June 7

Tuition $350 plus$25 Registration fee

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Beauty and The Beast

$386.25

Beauty and The Beast tuition includes the $25 registration fee.

Who: Grades 6-12

Where: 330 Cernon St. Vacaville for rehearsals.

Tech Week & Performances will be @ Harbor Theater in Suisun.

When: Tues 5:30-7:30 & Sat 5:00-7:00

First Rehearsal: Feb 15 @ J&S Vacaville

Tech Week: May 11-14

Production Dates: May 15-

May 17 @ Harbor Theater in Suisun

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I Never Saw Another Butterfly

$386.25

The tuition already has the $25 registration fee included in the total price,

Who: Grades 8-12

Where: 330 Cernon St. Vacaville (Rehearsals & Performances)

When: Wed 5:00-7:30 (Rehearsal time will increase in April)

First Rehearsal: Feb 19@ J&S Vacaville

Tech Week: April 20-23

Production Dates: April 24-26

Tuition $350 plus$25 Registration fee

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Online Registration Form- Registering a single child

The Aristocats-Suisun

The Aristocats-Vacaville

Beauty and The Beast

I Never Saw Another Butterfly

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