Rosewood Players Virtual Drama Club Spring 2021 Registration Form
Welcome!

Registration Closes January 1, 2021

Classes on Mondays, 5:30 - 6:30 p.m., January 4 - May 10, 2021 (No class Jan. 18, Feb. 15 or Apr. 5)

Classes held via Zoom. Meeting link will be sent via email. Final performance recording during the final class, May 10. Watch party on Friday, May 14 at 7:30 p.m.

Contact: Regina Ruopoli, Rosewood Players at: rosewoodplayers@gmail.com or 843-991-6369

Email address *
Primary Parent/Guardian Name *
Primary Parent/Guardian Home Address *
Primary Parent/Guardian Cell Phone *
Primary Parent/Guardian Work Phone & Place of Employment *
Secondary Parent/Guardian Name
Secondary Parent/Guardian Home Address
Secondary Parent/Guardian Cell Phone
Secondary Parent/Guardian Work Phone & Place of Employment
Is there someone other than the primary or secondary parent/guardian who supervising the student during class time? If so, please provide their name, relationship and phone numbers below:
Alternate Emergency Contact Name, Relationship & Cell Phone *
Child's Name *
Child's Age as of September 14, 2020 (Please submit this form a second time for a sibling.)
Column 1
Age 8
Age 9
Age 10
Age 11
Age 12
Age 13
Age 14
Age 15
Age 16
Age 17
Clear selection
Child's School & Grade Level for Spring 2021 *
Any Student Allergies? / Medical, Emotional or Social Considerations?
If new, please list any performing arts experience the student has, or other relevant information you'd like to share.
Please list any known scheduling conflicts you have for classes during this session.
If new, how did you hear about us?
* Photo/Video Release: The undersigned gives permission to Rosewood Players/Rosewood Productions, LLC, to use photos and/or videos of the participant for the marketing of their company and services. Rosewood Players and its owners and operators agree to do so without using any names or information about the participants. All visual materials remain the property of Rosewood Players. Families may have the opportunity to purchase videos of the productions. *
* Release of Liability: As the legal parent or guardian, I release and hold harmless Rosewood Players and Rosewood Productions, LLC, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Rosewood Players, Rosewood Productions, LLC, its owners and operators or in route to or from any of said premises. *
* Fees: I, the undersigned, understand that fees are due in full upon registration. Fees are due regardless of enrolled student's participation. *
Code of Conduct: I will review the Policies and Code of Conduct (available on our website), print and share with the student. I understand that if a student is dismissed because of conduct issues any tuition already paid is non-refundable. *
I have read and agree to all of the above. (Please type your full name below.) *
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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