|
|
|
|
| | |
|
|
Nutcracker Camp
for Ages 3-5 on
Sunday, December 15
from 2:00 p.m. - 5:00 p.m.
Join us for an afternoon of:
Arts and crafts projects.
A special reading of The Nutcracker story.
A visit and performance by a Special Guest!
Learning a Celebration dance.
And more!
A light snack will be provided.
|
|
Event: |
|
|
Start Date/Time: |
End Date/Time:
|
|
Fee per Student:
|
Room:
|
|
* - denotes required fields |
|
Family Information |
|
|
|
| | | |
| | | |
|
Students entered below will be added to your family's account
|
|
Add New Student #1:
(Show-Hide Details)
|
|
Add New Student #2:
(Show-Hide Details)
|
|
Add New Student #3:
(Show-Hide Details)
|
|
Add New Student #4:
(Show-Hide Details)
|
|
Add New Student #5:
(Show-Hide Details)
|
| | | |
|
Additional Information: |
|
| | | |
|
Liability Waiver
(Show-Hide Details)
Nutcracker Camp: I, individually and also as a parent or guardian of dancer/dancers listed above , agree to Indemnify and hold harmless the Cuppett Performing Arts Center, Inc. (hereafter referred to as CPAC), as well as Amy Cuppett Stiverson, and any and all of her designated representatives from any and all liability arising out of or in consequence of, or mental or physical injury, illness, or death, sustained as a result of, any activity connected with myself or my child(ren) taking lessons from CPAC. I am assuming the risk for any harm I or my child(ren) might incur in consequence of my association with CPAC. I have applied to CPAC to participate in dance lessons and/or recitals. In exchange for being permitted to participate in these activities and use of CPAC's studios and other facilities, I agree that I, my heirs, and representatives will not make a claim against CPAC. I have carefully read this liability waiver and I fully understand its contents. I acknowledge that I have had full opportunity to read this document and to seek legal advice should I choose. I understand that this agreement is intended to be as broad as permitted by laws in the state of Virginia. I understand the physical nature of dance activities and I am choosing to engage in such activities and/or allow my child(ren) to do so. I understand there is risk of injury involved in dancing, and I choose to take on this risk.
I've read the above and agree.
|
|
|
Payment and Cancellation Terms
(Show-Hide Details)
Payment is due at time of registration to hold your spot. Cancellations prior to December 12 must be in writing. There are NO refunds after December 12, 2024
I've read the above and agree.
|
|
|
Payment Instructions
(Show-Hide Details)
If not on AutoPay, please enter billing information below.
I've read the above and agree.
|
|
| | | |
|
Other Questions/Comments: |
|
| | | |
|
Credit Card Verification: |
|
|
|
|
| | | |
| | | |
| eCheck/Bank Draft:
| |
|
Bank Name: |
| |
|
Bank Routing Number: |
(9-digit number)
| |
|
Your Account Name: |
(Your name on your bank statement)
| |
|
Your Account Type: |
Account Number:
| |
|
|
Please Wait...
|
|
| |