'Create With A Native' Series
To enable us to continue bringing you quality programs such as this, we would greatly appreciate a suggested donation of $25 or more at the time of registration. You will have the opportunity to make a donation once you submit this form on the confirmation page. Thank you for your generosity!
Full Name of Child(ren)
Medical/Other Conditions(Emotional, etc.)
If you have more than one child registered, will each child have access to their own device?
Name of Parent/Guardian
How did you hear about us?
By clicking SUBMIT I agree and give my consent to the following:
The next star arts program (Next Star) staff takes all necessary precautions to ensure the safety of the students in their care. I agree to hold harmless Next Star or its partners, their agents, officers and/or employees from all claims, damages, injuries, or other liabilities of any kind whatsoever that could be brought now or in the future by me arising from any action or inaction.
I understand that certain reasonable risks may exist in allowing my child to participate in the program.
I agree to be responsible for all medical bills, costs, and expenses (including ambulance services) incurred in providing necessary care to my child, and/or I authorize the direct billing of my health insurance carrier. In cases of emergency, Next Star shall act merely as my agent and neither next star nor the staff shall incur any liability for the good faith exercise.
I understand that all tuition payments are non-refundable.
I understand that my child may appear in photographs and videos taken in the normal course of a class and during productions. I hereby authorize Next Star and to use such images and video for promotional purposes only.
Send me a copy of my responses.
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