Spring 2023 Creative Works Registration Form
Thank you for registering for our Spring 2023 Term! We can't wait to see you in class!!

Classes will begin the week of January 31st and meet weekly through the week of March 28th. REGISTRATION DEADLINE is January 24th to allow us time to adjust staffing, space, and numbers. 

On March 31, join us at 6pm for a Showcase celebration where your child will perform on the Main Stage!

PLEASE NOTE: Beginning in Spring 2023, we will require a non-refundable $25 deposit to secure your child's spot. This deposit will go toward your child's tuition, which is due in full by January 31st. 

Tuition for the semester is $175.00
Sign in to Google to save your progress. Learn more
Email *
Participant's Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade Level (starting Fall '22) *
Male/Female *
Street Address *
City, State and Zip Code *
Parent/Guardian Name *
Parent/Guardian Phone Number *
If we cannot reach the parent/guardians listed above, please provide an additional Emergency Contact Name and Number *
Email address to receive CW class information and updates *
Please Select the Class(es) your child would like to take. *
By clicking "I agree" below, you understand your child's spot isn't reserved until payment is received. *
Medical Information/Allergies we need to be aware of *
Any other information regarding your child's learning/behavior we should be aware of? *
PLEASE NOTE: Beginning in Spring 2023, we will require a non-refundable $25 deposit to secure your child's spot. This deposit will go toward your child's tuition, which is due in full by January 31st.  *
By clicking "I consent" you agree:  Yes I give The Green Room Community Theatre permission to use my child's/children's photos/videos for promotion. The Green Room Community Theatre (TGR) seeks to promote the positive experiences and successes of our students in Creative Works classes and our actors on stage. To do so, we would like to publish photos showcasing what The Green Room offers to our community in the way of education, entertainment, and upcoming events. We will use photos and videos to promote on webpages, social media, printed media, and digital media. In addition, TGR will also be using local news media to report on these exciting activities and opportunities. In order for TGR to use photographs of you, you must give The Green Room permission to do so. Below is a form granting TGR permission to include your picture or video as described above. You must check one of the options. If this form is not completed or returned, you are granting permission for TGR to include your photo or video in our marketing. This form will remain active in our system unless you submit a new form. Thank you for helping us in this way. *
By digitally initialing below, you agree with our Waiver and Release: In consideration of being allowed to participate in the event or activity in question, I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT AND WAIVE ANY AND ALL CLAIMS, including by way of example and not limitation, any risks that may arise from any actions of the persons or entities being released (or actions of third parties providing a ride or other services as part of the activity), from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of any foreseeable act whether negligent or not negligent. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I understand while participating in this activity, I may be photographed and/or videoed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. This Waiver and Release Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT, AND I SIGN IT OF MY OWN FREE WILL. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of The Green Room. Report Abuse