Form Test - The Theatre Project of Grand Junction

REGISTRATION TYPE

I am an adult registering for myself
I am a parent or guardian registering my child(ren)
I am registering both myself and my child(ren)

PARENT/GUARDIAN INFO

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Contact Email

First and Last Name

Phone Number

Email Address

Alternate Emergency Contact Name

Alternate Emergency Contact Phone Number

How many students are you registering?

STUDENT INFO

STUDENT INFO (Enter your info first if you are registering yourself and your child(ren)

Student First Name

Student Last Name

Student Age

Student allergies or medical conditions that we need to be aware of (field may not be left blank-please enter N/A if neither applies):

Monday Adult Improv and Basics at 6

Price: $120.00

Class Selection:

Little steps to Broadway ages 5-7 Tuesdays 5:15-6 PM - $100.00
Acting Basics ages 12-18 Tuesdays 6-7 PM - $120.00
Acting Basics ages 8-12 Wednesdays 6-7 PM - $120.00

Student #2 Info

Student #2 First Name

Student #2 Last Name

Student #2 Age

Student #2 allergies or medical conditions that we need to be aware of (field may not be left blank-please enter N/A if neither applies):

Student #2 Class Selection:

Little steps to Broadway ages 5-7 Tuesdays 5:15-6 PM - $100.00
Acting Basics ages 12-18 Tuesdays 6-7 PM - $120.00
Acting Basics ages 8-12 Wednesdays 6-7 PM - $120.00

Student #3 Info

Student #3 First Name

Student #3 Last Name

Student #3 Age

Student #3 allergies or medical conditions that we need to be aware of (field may not be left blank-please enter N/A if neither applies):

Student #3 Class Selection:

Little steps to Broadway ages 5-7 Tuesdays 5:15-6 PM - $100.00
Acting Basics ages 12-18 Tuesdays 6-7 PM - $120.00
Acting Basics ages 8-12 Wednesdays 6-7 PM - $120.00

Student #4 Info

Student #4 First Name

Student #4 Last Name

Student #4 Age

Student #4 allergies or medical conditions that we need to be aware of (field may not be left blank-please enter N/A if neither applies):

Student #4 Class Selection:

Little steps to Broadway ages 5-7 Tuesdays 5:15-6 PM - $100.00
Acting Basics ages 12-18 Tuesdays 6-7 PM - $120.00
Acting Basics ages 8-12 Wednesdays 6-7 PM - $120.00

to videography recordings

PERMISSIONS AND AGREEMENTS

I understand that if a student is compromising the safety, security, and/or learning environment of the program, they may be removed at the discretion of the director and no refund will be given (please type your name verifying you understand and agree to behavioral expectations):

I understand that my registration is not complete and space secured until payment is received (please type your name verifying you understand and agree to payment policy):

Do you consent to above the named minor’s participation in The Theatre Project and their being personally identifiable in the resulting media, regardless of production method or type of media, including, without limitation, digital and analog photography, film and videography (with or without sound), and audio recordings without their name being shared?* The Theatre Project is committed to conducting all programs in a safe manner and strives to reduce risk to all of our participants. However, in choosing to participate in a program, students and parents must recognize that there is an inherent risk of injury. All families registering for a class, camp, or other programs agree to hold The Theatre Project harmless in case of accident or injury. In the event that a parent or emergency contact cannot be reached, parents further authorize The Theatre Project employees to administer first aid treatment and/or authorize medical treatment. *Please type your name in the space provided to acknowledge that you have read and understand the payment agreement, the media release agreement, the accident/injury agreement, and the first aid/medical treatment agreement:

Do you consent to participation in The Theatre Project and your being personally identifiable in the resulting media, regardless of production method or type of media, including, without limitation, digital and analog photography, film and videography (with or without sound), and audio recordings without their name being shared?* The Theatre Project is committed to conducting all programs in a safe manner and strives to reduce risk to all of our participants. However, in choosing to participate in a program, students and parents must recognize that there is an inherent risk of injury. All families registering for a class, camp, or other programs agree to hold The Theatre Project harmless in case of accident or injury. In the event that a parent or emergency contact cannot be reached, parents further authorize The Theatre Project employees to administer first aid treatment and/or authorize medical treatment. *Please type your name in the space provided to acknowledge that you have read and understand the payment agreement, the media release agreement, the accident/injury agreement, and the first aid/medical treatment agreement: (copy)

Do you have a coupon code? If so, enter it here:

Total Class Registration Fee

$0.00

Stripe Credit Card