Registration
Master Class with Todd Flanagan (Intermediate/Advanced , Ages 12+)
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Relation to Student *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Payment Terms
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Things to Bring to be Prepared/Dress Code
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Release of Liability
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Assumption of Risk and Waiver of Liability Relating to Covid
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Model/Image Release Waiver for Minors
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Student Drop off & Pickup
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Medical Emergencies
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Code of Conduct
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E-Signature Policy
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Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*