Artisan Children's Theater - Workshop Registration Form

To Enroll: Fill out the form below and click "submit." Once your form is received, a representative from Artisan Children's Theater will contact you with information on how to complete the enrollment process.

For more information on Artisan Children's Theater shows, auditions or workshops, call 817.284.1200 or email Natalie@ArtisanCT.com

Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Required
Age *
Your answer
Birthday (mm/dd/yyyy) *
Your answer
Names of class(es) enrolling in *
IMPORTANT: Please indicate your session preference in the class name section of this form. (if applicable)
Your answer
Primary Email (Parent/Guardian) *
Your answer
Secondary Email (Parent/Guardian/Student)
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Parent/Gaurdian Name *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Names of people authorized to pick the student up *
(NOTE: Students will only be released to persons specified as Authorized Pick Up on the child's enrollment form. A photo ID will need to be presented to the instructor upon pickup.)
Your answer
Special Needs
Your answer
Artisan Children's Theater Policies
Please be prompt in dropping off and picking up your students. Artisan Center Theater does not assume responsibility for any child dropped off unattended. Please do not drop off your child(ren) more than 10 minutes before class begins. Please contact us at 817.284.1200 if you will be delayed in picking up your child due to an emergency, such as car trouble. Students picked up more than 10 minutes past class time will be subject to a late pickup fee of $10 for every 10 minutes late.

Please have your child use the restroom before class begins. Parents may stay in the theater to observe the class during the first week of instruction but will be asked to remain outside during subsequent classes. Students will be asked to not chew gum during class. A recital performance for friends and family will take place during the last scheduled class.

Registration fees and Tuition are not refundable. By participating in a class or workshop, I do hereby grant permission to Artisan Center Theater to use the image of my child for promotional purposes. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Artisan Center Theater Web site.

I have read and will abide by the above policies. I am aware of the nature and content of the program and assume the risks associated with my child’s participation. I agree not to allege or impose any liability on ACT in the event of any damage, injury or loss resulting from such participation.

*
Required
Signature (Parent/Guardian First and Last Name) *
By signing electronically, you agree that the information in this form is accurate and true.
Your answer
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