THETALENTACADEMY.COM REGISTRATION FORM

Student Registration Form

Please fill out this form and we will get in touch with you shortly.
Student Information
List all Student Names below. If the contact person mentioned above is also a student, please include that name below too. *
Contact Information
Contact Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Your E-mail Address *
Parents Information
Mother's Name
Mother's Cell
Father's Name
Father's Cell
Enrollment
Please pick your options

Summer Academic Camp Tutoring
Credit Courses
Fill out if applicable
Choose Our Location
Registration Type

In Person Online
Your Message (Optional)
How did you hear about us (Optional)
We realize that even under close supervision, children may have occasional accidents. Therefore, we hereby release for indemnity and hid The Talent Academy, its agents/franchisees, employees harmless from any and all claims, damages or other liabilities for injuries to my child which are not a result of direct negligence of the staff.

We, the undersigned, do hereby represent that all statements made by us on the Student Registration Form are correct, and we acknowledge that we have read, understood and agree to all terms and conditions of the registration, as set forth in the form.
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Student Registration Form