Registration
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Welcome to Platinum Performing Art's Launch Week! Our studio doors are opening for the first time and we are celebrating with a week of unlimited classes for FREE. The Launch Week Schedule of classes will be emailed to you once you have registered- and you can pick and choose which classes you'd like to try! All students must be registered in order to participate- but there are zero fees! Launch week is August 19th-24th 2024.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Caregiver
Father
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
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Emergency Contact Info
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Birth Date:
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(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Would you like to schedule an Inclusion Program or All Abilities services meeting? (Type yes or no):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Would you like to schedule an Inclusion Program or All Abilities services meeting? (Type yes or no):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Would you like to schedule an Inclusion Program or All Abilities services meeting? (Type yes or no):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Would you like to schedule an Inclusion Program or All Abilities services meeting? (Type yes or no):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Would you like to schedule an Inclusion Program or All Abilities services meeting? (Type yes or no):
Additional Information:
Bullying/Harassment
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Platinum Performing Arts, Inc. has a zero tolerance policy for bullying and harassment of any kind, including verbal, physical, online, and sexual. This policy applies to students, parents/guardians, clients, employees, board members, volunteers, and directors who participate at or are in any association with Platinum Performing Arts, Inc. Individuals who report bullying or harassment are protected from retaliation by Platinum Performing Arts, Inc. or any employee, board member, or person acting on the behalf of the company. Platinum Performing Arts, Inc. will promptly investigate complaints of bullying, harassment, or retaliation. Such investigations will be fair and impartial. All individuals associated with Platinum Performing Arts, Inc. are required to cooperate with investigations of bullying, harassment, or retaliation. If there is a confirmed case of harassment or bullying, disciplinary action will be taken, up to and including:
• Immediate removal from any classes, production, or program the student is participating in
• Immediate removal from any classes, production, or program the parent/guardian’s student is participating in
• Immediate removal and/or ban from the premises
• Termination
• Legal action or support in legal action, if necessitated
I've read the above and agree.
Release of Liability
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By checking the box and signing below I acknowledge that for myself, and where applicable, my minor child(ren), acknowledge and understand that I/we am/are engaging and participating in an activity that involves modeling, physical activity, sport, dance, movement, acting, or general fitness that may also include the use of costumes, props and/or art supplies inside a studio, theater or outside area (herein referred to as “Activities”). I, for myself and where applicable, my minor child(ren) fully understand that my and/or my child’s participation in the Activities exposes me and/or my child to the risk of personal injury, illness and/or property damage. I hereby acknowledge that I and my child(ren) are voluntarily participating in these Activities and agree to assume all risks or injury that may result from such participation in any of these Activities.
I, for myself and where applicable, my minor child(ren), hereby release, discharge and agree not to sue Platinum Performing Arts, Inc., the corporation, its officers, directors, individual board members, or acting agents for any injury, loss or damage to my person or personal property that may occur arising out of, or in connection with, my and my child’s participation in any Platinum Performing Arts Activities, including the active or passive negligence of Platinum Performing Arts, Inc. or any other participant in the Activities. This waiver and release does not apply to the gross negligence or willful misconduct of Platinum Performing Arts, Inc. or its instructors, staff, officers, directors, or individual board members.
I hereby agree, for myself and where applicable my minor child(ren), that I shall indemnify and defend Platinum Performing Arts, Inc. and its instructors, staff, officers, directors, and individual board members, from and against any and all claims, demands, actions or suits arising out of or in connection with my and my child’s participation in the Activities.
I HAVE CAREFULLY READ THIS WAIVER AND RELEASE OF LIABILITY AND FULLY UNDERSTAND ITS CONTENTS. I UNDERSTAND AND CONFIRM THAT BY SIGNING THIS WAIVER AND RELEASE OF LIABILITY I HAVE GIVEN UP CONSIDERABLE FUTURE LEGAL RIGHTS. I AM AWARE THAT IT IS A FULL RELEASE OF LIABILITY AND SIGN IT VOLUNTARILY AND ON MY OWN FREE WILL.
I've read the above and agree.
Medical Emergencies
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By checking the box and signing below I acknowledge that Platinum Performing Arts, Inc. instructors, board members, employees, and volunteers are not physicians or medical professionals. With the above knowledge, I release and grant permission to Platinum Performing Arts, Inc. instructors, board members, employees, and volunteers to render temporary first aid to my child in the event of an injury or illness, and, if deemed necessary, to call emergency services for medical help.
I've read the above and agree.
Privacy Policy
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Platinum Performing Arts, Inc. collects and stores personal data and information in occurrence with regular business operations and transactions. Platinum Performing Arts, Inc. stores this information on secure platforms (Jackrabbit Technologies) and does not share any personal data including names, addresses, bank/card information, emails, or class enrollment status with any other entity, media, or individuals outside of the necessary Platinum Performing Arts, Inc. staff or board members. By checking the box and signing below you are acknowledging notice of this privacy policy.
I've read the above and agree.
Pick Up/Drop Off Policy
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All Parents/Guardians:
Please treat the lobby as a quiet zone when any class is in session. If your child is young or needs you to stay on premises, sitting quietly out of view of the class helps avoid distractions and prevents students from getting nervous/anxious during class. There is absolutely no video/photos permitted while class is in progress, unless specifically stated otherwise by the instructor or Platinum Performing Arts Inc, employee. If you need to use the restroom during a class, please either go around to the back entrance or quietly walk around the students to avoid interrupting class. Parent interference during classes is very distracting and takes away from instruction time. Please only enter the studio space if an instructor has asked or if your child has a specific need for your assistance.
Students Ages 1-3:
• A parent/guardian must stay on the premises for the duration of class and/or participate in the class.
Students Ages 3-6:
• A parent/guardian may choose to stay on premises for the duration of class.
• It is recommended that once the child is comfortable with attending class, parents transition to dropping them off a few minutes before class and picking them up at the end of class.
• Parents/Guardians must walk into the studio to pick up the child so we know they are being brought home by a known individual and safely escorted through the parking lot.
Students Ages 7-13:
• Students should be dropped off a few minutes before class and picked up at the end of class.
• Parents/Guardians must walk into the studio to pick up the child so we know they are being brought home by a known individual and safely escorted through the parking lot.
Students Ages 13 :
• Students should be dropped off a few minutes before class and picked up at the end of class.
• Parents/Guardians can walk into the studio to pick up the child so we know they are being brought home by a known individual and safely escorted through the parking lot.
• Students may, at the parent/guardian's discretion and consent, be released by a Platinum Performing Arts, Inc. employee to walk outside to the parking lot when the instructor/employee and the student both confirm arrival and recognition of the individual picking them up. If this recognition is not confirmed, the parent/guardian will be called to confirm identity or confirm approval for an alternate pickup person before the child is released from the premises. Platinum Performing Arts, Inc. must have written consent from the parent/guardian for this release pick-up method.
I've read the above and agree.
Photo/Video Release
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By checking the box and signing below, I grant to Platinum Performing Arts, Inc. the absolute and irrevocable right and unrestricted permission concerning any photographs or video that he/she/it has taken or may take of me and/or my minor child named in which I or he/she may be included with others, to use, reuse, publish, and republish the photographs or video in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration. I release and discharge Platinum Performing Arts, Inc. from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Platinum Performing Arts, Inc., as well as the person(s) for whom he/she took the photographs. I am a legally competent adult and have the right to contract in my own name and/or child’s name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.
I've read the above and agree.
Enter your Full Name:
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