Music Theatre Kids Kemp Standalone

Student Name*

Class

4th or 5th Grade Children

I understand that if my child has chorus rehearsal on a Monday, he/she will check into ASP after chorus until second session of Musical Theatre Kids.

Grade Level*

Please just enter a number. So for 2nd grade, just enter 2, K for Kindergarten

Teacher Name*

After Class...*

Once each Musical Theatre Kids class finishes.

Car Rider/Pickup
ASP

Siblings

Please enter names, grade level and teacher names of any siblings joining in the class. 10% discount for each one.

Parent/Guardian Name*

Email*

Home Phone*

Cell Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact*

First Last

Emergency Contact Phone*

Photography Permission*

I give Rachael Gorbutt permission to use my child’s picture in or on any form of advertisement for Musical Theatre Kids or affiliated event.

Yes, I give permission
No,I do not give permission

Release Statement*

RELEASE STATEMENT The participant and any accompanying adults or guests attending classes with Rachael Gorbutt and/or any of its functions in a studio or off site does so at his/her own risk. By registering and enrolling your child(ren) in class(es) with Rachael Gorbutt, parent/legal guardian knowingly waives the right to litigation if injury occurs out of said participation but not limited to the owner, educator, or any of its affiliate's own negligence. Rachael Gorbutt and affiliates shall not be liable for any damages or personal injuries sustained by any participants or their guests while on or off premises. By enrolling in any class with Rachael Gorbutt, you are acknowledging that you have read and agree to all policies and this does forever release and discharge Rachael Gorbutt and all owners, employees, volunteers, affiliates, and agents from any action or course of action, present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of the participants, accompanying adults or guests use or intended use of the said facilities and equipment on or off site. Any child not picked up 10 minutes after class will be sent to the After School Program. Please make sure your child is registered for the After School Program in case of emergencies.

PAYMENT AND REFUND POLICY: Tuition is due prior to the first day of class. Payments not received by the 2nd week of class will be chard a $10 late fee. Once a student has attended class and paid tuition, enrollment will be considered compete and that class spot reserved. Deposits and Tuition are non-refundable. We will not issue credits or refunds due to missed classes. Musical Theatre Kids follows the public school calendar. In the event of inclement weather, Musical Theatre Kids follows the public school closing decisions. A $25 charge will be applied to all returned checks. The fee per term is $182. Enrollments are taken on a first come, first serve basis by completing the form below and submitting it with payment. This is not a Cobb County School Sponsored event.

Agree

Class Fee*

Price: $182.00

Siblings

Only enter number of siblings joining the class. (If 2 children, sibling is 1)

Price: $164.00

Quantity

Musical Theatre Kids - Kemp - Standalone