Spotlight Arts Center Registration Form
This form is required for all students participating in our program. Please fill out a seperate form for each child you are enrolling.
Email address *
FALL 2019
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Birthdate *
Your answer
Child's Grade *
Your answer
Family Address *
Your answer
Parent(s)/Guardian Name *
Your answer
Parent(s)/Guardian Cell Phone # *
Your answer
Registration Policy Terms
MISSED CLASSES: STUDENTS PLEASE CALL, TEXT OR EMAIL BEFORE THE DAY OF ABSENCE IF POSSIBLE.

INSURANCE: IT IS REQUIRED THAT ALL STUDENTS BE COVERED BY THEIR OWN FAMILY INSURANCE POLICIES AND IF INJURY OCCURS IT IS UNDERSTOOD THAT THE STUDENT’S OWN POLICY IS THE ONLY SOURCE OF REIMBURSEMENT.

PARTICIPATION WAIVER: I UNDERSTAND THAT IN PERFORMING ARTS THERE IS A CERTAIN LEVEL OF RISK OF INJURY INVOLVED. IN THE EVENT THAT A MEDICAL EMERGENCY OCCURS, SPOTLIGHT ARTS CENTER STAFF HAS MY PERMISSION TO SEEK REASONABLE MEDICAL ATTENTION FOR MY CHILD. I FURTHER UNDERSTAND THAT ALL FEES AND LIABILITIES PERTAINING TO THIS EVENT ARE MY RESPONSIBILITY AND THAT SPOTLIGHT ARTS CENTER AND ITS AGENTS WILL NO WAY BE HELD AT FAULT.

FEES: REGISTRATION FEES CAN CURRENTLY BE PAID BY CHECK, CASH, VENMO, PAYPAL OR MONEY ORDER. STUDENTS MAY CANCEL THEIR SCHEDULED WEEKLY CLASSES AT ANY TIME BUT MUST NOTIFY THE DIRECTOR.

FEES ARE NON-REFUNDABLE: IF FOR ANY REASON YOU CANNOT CONTINUE PRIVATE LESSONS THAT HAVE BEEN PAID FOR, A CREDIT FOR FUTURE CLASSES WILL BE ISSUED AT THE DIRECTORS DISCRETION.

PHOTO/VIDEO RELEASE: I GRANT SPOTLIGHT ARTS CENTER STAFF THE RIGHT TO TAKE PHOTOGRAPHS/VIDEOS OF MY CHILD IN CONNECTION WITH SPOTLIGHT ARTS CENTER ACTIVITIES. I ALSO AGREE THAT SPOTLIGHT ARTS CENTER MAY USE SUCH PHOTOS AND VIDEOS FOR ANY LAWFUL PURPOSE, INCLUDING BUT NOT LIMITED TO PUBLICITY, ILLUSTRATION, ADVERTISING, AND WEB CONTENT.

PROGRAM UPDATES: SPOTLIGHT ARTS CENTER USES EMAIL, REMIND APP, FACEBOOK, HARD COPY AND PHONE TO NOTIFY STUDENTS OF IMPORTANT UPCOMING INFORMATION. ALL PHONE NUMBERS AND EMAIL ADDRESSES ARE KEPT PRIVATE.

I HAVE READ THIS REGISTRATION AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

Digital Signature: *
Your answer
Date: *
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Class Choices (please refer to website for descriptions and schedule) *
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A copy of your responses will be emailed to the address you provided.
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