Bands
BC Performing Arts
Contact
Bands
BC Performing Arts
Contact
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REGISTER HERE FOR OUR MUSICAL THEATRE cLASS
JANUARY - JUNE : ALADDIN
JUNE - DECEMBER : Annie
SUTHERLAND - TUESDAY |
Your Name
*
First Name
Last Name
Email Address
*
Contact Number
*
Child's Name 1
*
First Name
Last Name
DOB
MM
DD
YYYY
T-Shirt Size
*
4
6
8
10
12
14
16
Adult S
Adult M
Adult L
Child's Name 2
First Name
Last Name
DOB
MM
DD
YYYY
T-shirt Size
4
6
8
10
12
14
16
Adult S
Adult M
Adult L
Child's Name 3
First Name
Last Name
DOB
MM
DD
YYYY
T-Shirt Size
4
6
8
10
12
14
16
Adult S
Adult M
Adult L
Waiver - Medical Info
*
If necessary, describe the nature and severity of any physical, psychological ailment or condition to which your child is a subject of. Please include any signs or symptoms of which staff should be aware. Include names of medications and dosages that must be taken. Does your child suffer for any allergy or health conditions YES/NO if your answer is yes please give full details below.
YES
NO
If yes, please explain
Waiver - Liability & Risk
*
I understand that my child’s participation in this program is entirely voluntary and that it potentially involves some element of risk. Some of the dangers that I may encounter include, but are not limited to, accidents of any caliber. In addition, I understand that my child’s participation requires physical and vocal work. In partial conveyance of, and as partial payment for the right to participate in these activities and to utilize the services provided. I HERBY ASSUME ALL RISKS SET FORTH ABOVE. I (acting as parent(s), legal guardian(s), or legal representative(s) will not attempt to hold its trustees, officers, independent contractors, employees, or agents liable in damages for any injury, death, or loss to person or property sustained by my child while participating in or arising out of activities conducted by or under the auspices of BCMUSIC. I have considered these risks and dangers, and by selecting YES indicate that I have read and understand this paragraph.
YES
NO
Waiver - Emergency Authorization
*
I understand that my child’s participation in this program will result in some vocal and physical activities, which may stretch his/her natural abilities. I understand that emergencies may develop at any time, and that these emergencies may necessitate medical care, or hospitalization. In the event of an accident, a company representative or agent will contact parents, or guardians. I understand that payment for any medical services is solely my responsibility. I have considered these risks and dangers, and by selecting YES indicate that I have read and understand this paragraph.
YES
NO
Waiver - Appearance Agreement
*
I understand that this company will produce promotional material relating to its events. I understand that as participant and/ or a spectator at the Event that myself/my child may be included in videotapes or photographs taken during the Event. Therefore, without reservation or limitations, I grant them exclusive right to photograph and / or videotape my child, and give permission for such photographs, video and audio tapes to be used in print or broadcast through any media which is deemed appropriate for the promotion. Selecting YES here indicates that I have read and understand this paragraph.
YES
NO
Waiver - Parent/Guardian Name
*
I HAVE READ AND UNDERSTAND THE ABOVE PROVISIONS AND AGREE TO BE BOUND BY THEM AS INDICATED BY MY NAME BELOW.
First Name
Last Name
Thank you!
