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Greatest Showman Registration
Fly into something new with our 'Intro to Musical Theatre' class centered around songs and dances from "The Greatest Showman".
Please fill out the form entirely. Once you have filled out the entire form, you will be sent a payment request form.
When both are completed, you will be sent a confirmation email that your spot for the class has been secured.
The Deadline is February 27th
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Students name
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Your answer
Students age
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8 years
9 years
10 years
11 years
12 years
What school does the student attend?
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Your answer
Students grade level
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2nd grade
3rd grade
4th grade
5th grade
6th grade
Has this student ever participated in the fine arts? (acting, singing, dancing, band, orchestra, choir, musicals, plays, etc.)
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Yes
No
Students Gender
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Female
Male
Students T-shirt size (Child size)
XS
S
M
L
XL
Clear selection
Please select what class are you enrolling the student in?
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Into the Musical Theatre: The Greatest Show (Saturdays; 10:30am)
Are you enrolling more than one child or student for this class?
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Yes
No
Parents or Guardians Names
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip code
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Your answer
Does the student reside at this address?
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Yes
No
Parents or Guardians Email
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Your answer
Emergency contact (include name and number)
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Your answer
What is the emergency contacts relationship to the student?
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Your answer
Are there any allergens or medical conditions that we should be aware of? Put N/A if no
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Your answer
Who will be picking/dropping off the student?
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Your answer
In accordance to CDC guidelines, the class will require masks and social distancing rules. Will you and your student abide by these rules and agree to take a Covid screening and temperature check upon arrival to class?
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Yes
LIABILITY AND RELEASE: I understand that participation in the listed event or class above could include actions or tasks that may be difficult or extensive to the written participant. By signing below, I assume any possible risk of harm or injury of the participant during the said event or class. I release the Belvidere Theatre Company and Celia’s Dance Education Center from all liability, costs and damages that might arise from participation in the above named event or class. I agree that the participant listed above has my consent to participate in the event or class. I further provide consent to the organization (Belvidere Theatre Company) to seek emergency treatment for the participant if necessary. I agree to accept financial responsibility for the costs related to this emergency treatment. I also abide to pay for class fees on time and in full at the time before the said class occurs.
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I agree to the terms and conditions and will pay the registration fee in full before the class
MEDIA RELEASE: I grant permission for the Belvidere Theatre Company to use pictures or videos that may include my child or the participant listed in Media publications such as advertisements, social media promotion or publications.
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Yes
No
REFUND POLICY: You will only be eligible to receive the full class refund before the second class occurs. After the second class, no refunds will be provided. Do you agree to adhere to the Refund Policy?
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I agree to adhere to the Refund Policy
Please write your full name and today's date to confirm you have read all necessary forms and will abide by these regulations
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Your answer
How will you be paying for the class?
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Paypal
Check
Are there any other questions or concerns you have?
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Your answer
Would you like to be added to our newsletter list that includes new classes, private lesson information and upcoming shows and events?
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Yes
No
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