Talent Factory Summer Camp Registration
Camp Location: Talent Factory Arts & Dance: 126 W Washington St, Lebanon, IN 46052
Contact us at (765) 894-9888 or info@talentfactoryarts.com
Email address *
Please select all camps this child is registering for. (Please fill out a separate registration form for each child.) *
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Guardian Name (First and Last) *
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Student Name (First and Last) *
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Student Date of Birth *
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Student Age (As of June 1st, 2019) *
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Student Gender *
Primary Phone Number *
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Address *
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Allergies *
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How did you find out about us? *
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Is your child currently enrolled in a Talent Factory class? *
Has your child attended a camp or class at Talent Factory? *
I understand that I will receive an invoice via email. Registration is complete once paid in full. Must be paid within 24 hours or registration is canceled and spot will be filled. *
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I understand that due to limited enrollment, Talent Factory does not issue credit or refunds for any reason. *
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I understand that my child must be completely potty-trained to participate in this day camp. *
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I am also registering the following siblings. (Please use a separate registration form for each child.)
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Release Consent
By signing below I give my child permission to participate in the above listed Talent Factory Camp(s)/Intensive/Workshop(s.) I understand that with any physical activity there are inherent risks for personal and bodily injury to the persons who are being taught. I will not hold Talent Factory, it’s staff, agents, or representatives responsible for any injuries or loss whatsoever to myself or anyone in my family while on the premises or traveling to or from the facilities. I have notified Talent Factory of all health considerations that may prevent my child from participating in Talent Factory camps, classes, workshops or activities. This release shall apply to any of the said activities. I understand that this release is to be as broad and inclusive as permitted by law and shall be governed by the law of the State of Indiana. I further declare and represent that no promise, inducement or agreement not herein expressed has been made to me, the undersigned, and that this release contains the entire agreement between the parties hereto, and that the terms of this release are contractual and not a mere recital. I agree to hold Talent Factory, all related staff, agents, employees, and representatives therefore forever free of liability of any such injury or loss sustained through participation and agree that my medical insurance will cover any related expenses. I understand that due to limited enrollment, Talent Factory does not issue credit or refunds for any reason. I also give permission for Talent Factory to copyright, use my child’s voice, likeness, and photos in connection with activities relating to their participation including the internet, social media, printed materials, videos, etc.
THE UNDERSIGNED HAS READ THE FOREGOING RELEASE, FULLY UNDERSTANDS IT AND AGREES TO PARTICIPATE ACCORDINGLY. (Sign below.) *
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A copy of your responses will be emailed to the address you provided.
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