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Hamilton Winter Workshop
Hamilton Winter Workshop Registration Form December 26th - January 5th
Student's name (first, last)
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Student's Address
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City
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State
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Zip Code
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Best Phone Number
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Best Email
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Mother's Name (First, Last)
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Mother's Phone Number
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Mother's Address
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Mother's Email
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Father's Name (first, last)
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Father's Phone Number
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Father's Address
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Father's Email
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Student's Age
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Student's Date of Birth (mm/dd/yyyy)
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Student's Gender
Shoe Size
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T-Shirt Size
School Attending
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Grade
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Emergency Contact Name
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Emergency Contact Phone
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Emergency Contact Address
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Emergency Contact Relation to Student
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Family Physician
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Allergies or other medical information we should know about
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Camp Options - Select week(s) child will be attending
Is your Child currently enrolled at Showtime
Registration Fee (returning student discounted fee applies for student attending SHOWTIME in the past 12 months)
Will you require extended camp hours?
Select dates of extended camp hours needed.
What specific extended hours are needed each day?
Please provide additional information regarding your extended camp needs if necessary.
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Total fees for extended camp hours ($5 per hour)
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Which days would you like for you're child to participate in hot lunch buffet days (Fridays only) -$7 per day
Name on Card
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Credit Card number
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Expiration date (mm/yy)
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3 digit code on back of card OR 4 digit code on the front American Express Card
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Billing Address
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City
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State
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Zip Code
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By checking the box below I authorize SHOWTIME Performing Arts Theatre to charge my tuition, along with any applicable fees which may include: extended care, lunch, class, and/or registration fees to the above listed card. I understand that no refunds will be given for tuition.
By signing this waiver, I release SHOWTIME Dance and Performing arts Theatre and all of its staff from all claims related to any injury which may be sustained by myself or my child while attending any of our classes, camps or events associated with SHOWTIME Dance and Performing Arts Theatre. I also affirm that I currently have and will continue to carry proper medical, health, hospitalization, and accident insurance, which I consider adequate. Photo release: I understand that as a student, my child may from time to time be included in photos and video-taping of student productions. By signing below, I grant permission for SHOWTIME to use these photos in brochures or promotional material. I understand that no refunds will be given for tuition and fees. I agree to the waiver above by typing my full name (first, last) below.
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Today's Date
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Questions/Comments
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