Student Information Form

Please complete the form below and you will be contacted via phone or email with the next steps for completing registration.

Off Broadway School of Fine Arts Student Registration

Student Information

* Indicates required field

Student's Name *

First

Last

Student's Birthday (MM.DD.YYYY) *

Instrument *

Parent/Guardian Information (if under 18)

Name *

First

Last

Contact Information

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Information

Name *

First

Last

Phone Number *

Relationship to student *

Cancellation and Absence Policy: Please Read Carefully

Excused Absences
Instructors will make reasonable efforts to make up lessons cancelled with 24 hrs. or more advance notice. However only one student excused absence is guaranteed to be made up during the semester makeup week (last week of the semester). Please keep contact information for your instructor on hand. Instructor absences will be made up, or in rare cases where this is impossible, refunded in full.
Unexcused Absences
Lessons cancelled without proper notice and/or no shows will not be made up. In the case of a student taking "Drop In" lessons, the full amount of the lesson will be charged to the credit card on file.
Canceling Lessons
Should a situation arise where you can no longer finish out a fully paid semester term, we require one month's cancellation notice. One month after notice is given, a refund may be issued for the remaining unused lessons.

By Checking the box below, I acknowledge that I have read the above policies carefully and agree that should I cancel or not show up to a lesson without giving 24 hrs. notice, I will be held responsible for the full cost of lessons missed. Furthermore, I acknowledge that cancellation of a lesson package requires one month's notice for which no refund will be given. *

I agree NA (select this option for camps / special events)

Liability Release: Please Read Carefully

I agree to indemnify and hold harmless the Off Broadway School of Fine Arts and Pine Street Church, their officers, employees, agents, consultants, subcontractors, insurers and representatives (collectively the Off Broadway School of Fine Arts at Pine Street Church), for any loss, damage, or injury to myself or my property in any way related to my participation in the programs of the Off Broadway School of Fine Arts. This release applies to me as well as any of my children, personal representatives, assigns, heirs, and next of kin. I authorize the Off Broadway School of Fine Arts in a medical emergency to seek emergency medical assistance at my expense.

By checking the box below, I acknowledge and agree to the conditions of the Liability Release. *

I agree

Media Release: Please Read Carefully

I give permission to the Off Broadway School of Fine Arts Boulder to use any photographs, videotape, or other media record of my participation in Off Broadway School of Fine Arts programs for any lawful purpose, without compensation.

By checking the box below, I acknowledge and agree to the conditions of the Media Release. *

I agree

Electronic Signature *

Date *

**Registration is not complete until payment is received. Please contact info@offbroadwayfinearts.org to set up your one time or recurring payment.

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