Registration

Workshop Schedule: Check-in: 9:30-9:55 <>Introduction:10-10:15 <>Dance with Mackenzie Bell 10:15-11:15am <>Singing with Quinn VanAntwerp 11:15-12:30pm <>Question & Answer with Quinn & Mackenzie 12:30-1 **Time available before and after workshop for private coaching/mentoring with Quinn or Mackenzie. They are also available on Friday. See event calendar**
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Please tell us a little about yourself. Grade, school, musical theater and/or dance background. Favorite shows, parts or dream part!
After the group sing part of this workshop, led by Quinn, you may also sing 16 bars for feedback. Would you like to sing 16 bars of a song for feedback? (Everyone else will observe enjoy)
If yes, what will you be singing? If singing 16 bars, bring either sheet music or your cut of music on a flash drive or CD.
A 30 minute Q&A with Quinn & Mackenzie will take place the last 30 minutes. What would you like to ask Quinn and/or Mackenzie? You will have an opportunity to ask more questions there.
 
Additional Information:
 
Event Commitment:
You are registering for a Musical Theater Song and Dance Workshop with Quinn VanAntwerp and Mackenzie Bell on Saturday, June 15. 10am-1pm. Cost is $75 via cash, check to TDS or Credit Card, if entered (not charged until day of)
I've read the above and agree.
 
Talent & Photo Release
Occasionally, a group photo or or short video may be used for studio informational and advertising purposes only. I hereby grant The Dance Studio CNY , the right to use my portrait or video without payment of compensation for use in studio publications, information or ads, without notification to me or any other person.
I've read the above and agree.
 
Indemnity Agreement as Required by my Insurance Company
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT "AGREEMENT")
In consideration of participating in the Classes and/or Activities at The Dance Studio, I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.

I hereby release, discharge, and covenant not to sue The Dance Studio, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim.

I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

AND I, the minor's parent and/or legal guardian, understand the nature of the above referenced activities at The Dance Studio and the Minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby Release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses or damages on the minor's account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee may incur as the result of any such claim.
_____________________________________________ Date:________________________
Printed name of participant
___________________________________________ Date:_______________________
Printed name of Parent/or Legal Guardian
__________________________________________
Signature of Parent/or Legal Guardian

I've read the above and agree.
 
ePayment Agreement
•Credit/Debit Card must be entered at Registration.
•Workshop Fee is charged to your card on day of event. (Not upon registration).
•Bring cash or check, if preferred.

I give The Dance Studio permission to post and process Workshop Fees to my credit or debit card entered into the Parent Portal, if I have not paid by cash or check.

Thank you.

I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
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