Registration Information

Thank you for expressing interest in Big Top Steel! Please complete the following information and we will contact you as soon as possible to discuss attending our Free Summer Program. Spaces are limited, but we will do what we can to accommodate interested peeps.

  • The two-week program will run from June 24th to July 7th, Monday-Friday 12:30PM - 4:30PM
  • The three week program will run from June 17th to July 7th, Monday-Friday 12:30PM - 4:30PM
  • Participants are expected to attend all classes and be on time every day.
  • We will open the room for practice/ warm up/ study or reading time at 12PM
  • You should be picked up by 5PM

If you would prefer to download a PDF version of this form to print and fill out, here is the download link: [PDF download]

Please turn the form in to your teacher, or drop it off at American Steel Studios 1960 Mandela Parkway (enter on 20th Street) Box on Bay 2 Gate.

  • The Basics - to be filled out by Young Adult Participant

  • Parent/Guardian Authorization

  • Student Information

  • Parent/Guardian Information

  • Emergency Information

  • Specific Health Information

  • Pick-up Authorization

  • Parent/Guardian Authorization for Treatment of a Minor Child

  • I certify that I am the parent or legal guardian having custody of the above named minor child. As parent or legal guardian, I hereby authorize and appoint Big Top Steel, American Steel Studios, Clowns Without Borders, Prescott Circus Theatre, and American Clothing Experiment, in whose care the minor child has been entrusted, as my agent to act for me with respect to my minor child concerning my minor child's personal care, medical treatment, hospitalization, and health care; and to require, withhold, or withdraw any type of medical treatment or procedure, including X-ray examination, anesthetic, medical or surgical diagnosis or treatment which may be rendered to my minor child under the general or special supervision and on the advice of any physician or surgeon licensed to practice in the state in which treatment is sought. My agent shall have the same access to my minor child's medical records that I have, including the right to disclose the contents to others. I understand that I am personally responsible for all costs incurred in the treatment of any injuries to the minor child. By entering my name below and clicking 'Submit', I acknowledge that I have read, understand and executed this agreement as of the date shown.

    PARENT/GUARDIAN CONSENT AND RELEASE FORM

    PLEASE READ CAREFULLY AND ACKNOWLEDGE THAT YOU UNDERSTAND BY ENTERING YOUR FULL NAME BELOW

    Big Top Steel is a community organization that provides educational instruction inn circus and performing arts. My child has my permission to participate in the circus and performing arts programs hosted by Big Top Steel and American Steel Studios. I understand fully that all phases of Big Top Steel/ American Steel Studios Arts programs can be hazardous. Prior to being given permission to participate in these programs, my child will receive safety information and instruction in the appropriate rules and practices which apply to the space and equipment used as part of these programs.

    My child, named above, agrees to observe all safety rules established by the Big Top Steel staff. They understand that violations of these rules can result in suspension from participation or expulsion from Big Top Steel's programs.

    I have explained the terms of the above to my child, and they have assured me that these matters are understood and they have agreed to them.

    I agree that these programs may be audio- or videotaped, or photographed, for the purpose of documentation and promotion. Participant waives all rights to being photographed. These tapes and/or photographs are the property of Big Top Steel and its partner groups, exclusively. Big Top Steel may make any use of such tapes and/or photographs without payment to the participant.

    My child is in good physical and mental condition; fully capable of participating in Big Top Steel's programs they are enrolled in. They have no conditions which might impair their abilities, except as may be noted on the enclosed Parental Authorization for Treatment and Information Form and approved in advance by one of Big Top Steel's staff. Also, they are taking no medications that might affect their abilities to participate in these programs. I have been advised that Big Top Steel has a firm policy of no smoking, alcohol, or drug use on its premises and my child agrees to abide by this policy.

    My child is permitted to attend and perform in off-campus performances scheduled to take place July 5-7, 2013. My child has permission to be transported by Big Top Steel or travel with Big Top Steel on public transportation. This same permission is extended to future performances yet to be scheduled.

    To the maximum extent permitted by law, I hereby assume any and all of the risks attendant with my child's participation in Big Top Steel's programs. Further, to that same legal extent, I hereby agree to hold harmless and release Big Top Steel, American Steel Studios, Clowns Without Borders, Prescott Circus Theatre and America Clothing Experiment, its faculty, volunteers, sponsors, donors, and staff from any and all claims for injury, loss or damage whatsoever that my child might sustain while participating in any activities at Big Top Steel, American Steel Studios; and I hereby agree to indemnify them and hold them harmless of and from consideration of my child being offered this opportunity at Big Top Steel/American Steel Studios.

    I have read this document completely and understand it fully.
    I also acknowledge that I have completed and signed the Parental Authorization for Treatment and Information Form.

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