MTYP University - Spring 2021
SPACE IS LIMITED! Registration and spot in the class are secured once payment has been received.
Social distancing and safety procedures will be strictly enforced.
Student First Name *
Student Last Name *
Student Age *
School *
Grade *
Birthday *
MM
/
DD
/
YYYY
Student Email *
Medical Conditions (relevant to classes) *
Parent Contact #1 *
Parent Email Address #1 *
Parent Contact #1 Phone Number *
Parent Contact #2
Parent Contact Email Address #2
Parent Contact #2 Phone Number
Home Address *
Classes you'd like to attend: (Choose All That Apply) *
Required
Will you be dancing remotely?
Clear selection
By checking "Yes," I Agree To The Following: Photo and Liability Release: I give my permission for my child to participate in Music Theatre for Young People (MTYP). I understand I am solely responsible for all medical expenses incurred by my child while at MTYP or participating in MTYP activities, and I agree to release and indemnify MTYP for any such expenses. I also give my consent for MTYP to use my child’s photograph and likeness, with or without identification, for any lawful purpose, including but not limited to such purposes as video-recording, publicity, illustration, advertising, social media and website content. *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy