SSTC Presents: Head Over Heels Registration

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SSTC Presents: Head Over Heels

07/17/2026 - 08/23/2026

Admission

Admission Fee

Waiver Statement *

In case of emergency, Bellingham Arts Academy for Youth (BAAY) has my consent to authorize medical care for the student(s) I am registering for this program. In addition, I hold BAAY harmless for any physical or emotional injuries that may occur to the registered student(s) during BAAY programs, on or off BAAY facilities.

Yes, I agree.

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How many students are you registering for this program? *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email *

Primary Phone *

Secondary Phone (optional)

Address *

City *

State *

Zip *

What is the student's gender identity? *

What is the student's ethnic background? *

What is your annual household income (before taxes)? *

Student disabilities (select all that apply) *

Hearing

Physical

Visual

Other sensory disability

Neurological disorder

Not disabled

Prefer not to answer

What is the primary spoken language in your household? *

How does the student get to BAAY? *

Where does the student go to school?

Photo Release: I, the parent or guardian, agree to allow the use of my child’s photo, video images, and/or audio recordings in which they can be heard for the promotional needs of BAAY and its affiliated programs. I agree that all such images and recordings are the sole property of BAAY. No names of students will be listed.

Yes

Job Title

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Choose Existing Contact(s)

First Name *

Last Name *

STUDENT INFORMATION

Student age

BAAY staff and volunteers will use best efforts to prevent all students from taking pictures or videos of students in the facilities and/or program areas.

COMMUNITY SURVEY

We are collecting information to better understand the communities we serve! Your responses will help our organization apply for funding and report on the impact of our programs. Only BAAY management will have access to the data collected, and your responses will be kept private and secure.

Student pronouns

Student allergies (if any)

Anything else you'd like us to know?

Thank you for completing this survey! Feel free to email director@baay.org with any questions or feedback.

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