YAPI | PUSH Inc

Audition Registration

First name

Last name

Email

Phone

Guardian's First & Last Name (if 18year or younger)

Age

School you attend

Multi-line address

Country/Region

Address

City

Zip / Postal code

Emergency Contact (Name & Number)

PHOTO & VIDEO RELEASE

By participating in Youth Arts & Performance Institute (Y.A.P.I.) programs and events, I grant Y.A.P.I. permission to photograph, record, and use my/my child’s image, likeness, voice, and/or participation for promotional, educational, and organizational purposes, including social media, websites, and printed materials.

P.U.S.H. Inc.

"CHANGING

PERSPECTIVE

CHANGING

LIFE"

Y.A.P.I.

Youth Arts & Performance Institue

Audition Registration