Parents Night Out... Registration Form
This form registers your child for Parents Night Out.  Space is limited due to cover-19 restrictions. Please remember your registration is incomplete until you pay your fee. So that we have an accurate account of how many children will attend, please submit payments by the Thursday before PNO.  Please fill out the information below.  Have questions?? please Contact us at (470) 621-4883 or admin@artistryperformingartscenter.com
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Email *
Are you a new or existing customer? *
What Trail Class are you registering for? *
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Contact info
Please fill out the following personal information.
Your name *
Your child's name *
You or Your child's birthday *
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Your child's grade level *
Phone number(s) *
Additional Parent's Name
Additional Parent Phone number(s)
Additional Parent E-mail
Please list any additional family members and or friends that can pick up your child with identification.
Waiver------------------------------------------------                   In sole consideration for Artistry Performing Arts Center, LLC, allowing you or your child to use its studio, equipment and facilities and/or participate in classes and events it hosts, you expressly agree on behalf of yourself and your children to waive any claims or causes of action that may arise against  Artistry Performing Arts Center, LLC, and all its owners, officers, directors, affiliates, employees, agents, representatives, successors or assigns. This waiver includes but is not limited to all claims for property damage and/or personal injuries that may occur as a result of (a) use of equipment, products and/or use of studio amenities, (b) the malfunctioning of any equipment, (c) the instruction and supervision of any of  Artistry Performing Arts Center LLC, employees, independent contractors, agents or representatives, and (d) you or your child slipping, tripping and/or falling while in the studio, or on the studio premises, including adjacent sidewalks, walkways, stairs and parking areas and bathroom, locker room or kitchen facilities, regardless of negligence. Your electronic signature below serves as your written signature and  acknowledges you have carefully read this waiver and fully understand its contents. Your electronic signature below serves as your signature. *
Waiver*************************************************    I acknowledge the contagious nature of the COVID-19 virus, and respect that the facility adheres to the CDC recommendations of practicing social distancing and wearing face coverings.I further acknowledge that Artistry Performing Arts Center, LLC, has put in place preventative measures to reduce the spread of the COVID-19 virus, to the best of their abilities. I further acknowledge that no guarantee exists regarding whether or not I may contract COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19 virus may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff and other clients.I acknowledge that I increase my risk of exposure to COVID-19 by participating in services rendered. I acknowledge that I and my child(ren)must comply with all set procedures to reduce the spread while in attendance.  When entering Artistry Performing Arts Center, LLC,  you and your child(ren) must not enter if you can say YES to the following:                                                                          *I am not experiencing any symptom of illness such as cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell.* I have not traveled internationally within the last 14 days.* I have not traveled to a highly impacted area within the United States in the last 14 days.* I do not believe I have been exposed to someone with a suspected and/or confirmed case of COVID-19.* I have not been diagnosed with Coronavirus/Covid-19 by state or local public health authorities.* I am following all CDC recommended guidelines as much as possible, including limiting any purposeful exposure to COVID-19.I hereby release and agree to hold Artistry Performing Arts Center, LLC, harmless from any causes of action, claims, demands, damages, costs, expenses and compensation for damage to myself that may be caused by any act, or failure to act, or that may otherwise arise in any way with any services received. I understand that this release discharges the aforementioned from any liability with respect to bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received. This liability waiver and release extends to all owners, partners, and employees. Your electronic signature below serves as your signature. *
Artistry accepts payments using Square. You will be able to pay your $35 Fee using a bank debit card, visa, MasterCard, Discover, and American Express. Please Note that your PNO $35 fee needs to be paid the Thursday before your selected date. Paying the Day of will be considered as a walk in with a rate of $45 *
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