Registration
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Event:
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End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
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Caregiver
Father
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Email:
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Address:
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City:
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Zip:
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Emergency Contact Info (Not Contact #1 or #2)
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Select Color and Size Below :
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Preschool Black-Size:
Leveled Class Purple-Size:
Leveled Class Black-Size:
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Select Color and Size Below :
Preschool Lavender - Size:
Preschool Black-Size:
Leveled Class Purple-Size:
Leveled Class Black-Size:
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Select Color and Size Below :
Preschool Lavender - Size:
Preschool Black-Size:
Leveled Class Purple-Size:
Leveled Class Black-Size:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Select Color and Size Below :
Preschool Lavender - Size:
Preschool Black-Size:
Leveled Class Purple-Size:
Leveled Class Black-Size:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Select Color and Size Below :
Preschool Lavender - Size:
Preschool Black-Size:
Leveled Class Purple-Size:
Leveled Class Black-Size:
Additional Information:
Payment
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Full payment is due at the time of enrollment, which includes a $100 nonrefundable deposit. All cancellations made more than 30 days prior to camp start date may receive a refund minus the $100 nonrefundable deposit. Cancellations made within 30 days of the camp start date are NONREFUNDABLE as camps are staffed accordingly and these are reserved spots.
I've read the above and agree.
Assumption of Risk
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I hereby consent to my child(ren) receiving training and practice in dance and/or music at "Wake Forest Academy of Fine Arts". The undersigned parent(s) or guardian(s) understand(s) and acknowledge(s) that these activities, and in all athletic or artistic undertakings, may result in injury to the participant.
I've read the above and agree.
Release of Liability
(Show-Hide Details)
In consideration of my minor child(ren) participating in programs and activities of "Wake Forest Academy of Fine Arts" the undersigned parent(s) do indemnify and hereby release, save and hold harmless the owner, all employees and agents of the "Wake Forest Academy of Fine Arts" from all claims, damages and expenses arising out of personal injury, sickness, or illness that may be sustained by my minor child(ren) while engaged in any program or services offered including dance and other related activities at the "Wake Forest Academy of Fine Arts".
I've read the above and agree.
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