Registration

Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
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
 
Additional Information:
 
Waiver and Release of Liability

In consideration of The Fever Performing Arts registering me for this dance camp to take place July 1st through August 30th, 2020; the undersigned acknowledges and agrees that:

1.The risk of injury from this activity, although nominal, is present, and while training and instruction may reduce this risk, the risk to injury does exist

2.I knowingly and freely assume all such risks, both known and unknown and assume full responsibility for my participation and/or my child(ren);

3.I, for myself and/or my child(ren) and behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless The Fever Performing Arts and its agents, volunteers, or employees, and if applicable, owners, lesser of the premises used to conduct the dance activities ("releases") with respect to any and all injury, disability, death, or loss to personal property.

I have read this release of liability and assumption of risk agreement and have accepted the terms; and understand in no way may I legally hold The Fever Performing Arts accountable for risk that may befall me, or my child(ren) during any Fever Summer Camp or Class during the dates of July 1st through August 30th, 2020.

I've read the above and agree.
 
ALL SUMMER CAMPS & SUMMER TECHNIQUE CLASSES ARE NON-REFUNDABLE!!

IN THE ENVENT THAT THE CAMP OR TECHNIQUE CLASS CANCELS DUE TO CONVID-19 THEN WE WOULD OFFER YOU A FULL REFUND OR CREDIT TOWARDS A RESCHEDULE CAMP DATE ONLY!

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:
City: State: Zip:*