“A TIME TO SHINE

“A TIME TO SHINE

Session 2
Registration July 5th - July 8th, 9AM - 2:00PM Tuition $390

NON-REFUNDABLE
Name
Age
Address
Parent/Guardian Name
Parent/Guardian Home phone:
Mobile:
Parents/Guardian email:
example@example.com
Performer's email:
example@example.com
Emergency Contact Name:
Home phone:
I give permission for
to participate in ATTS (A Time to Shine) Camp.
Allergies
Please list any food allergies or health concerns we should be aware of. *Due to food allergies products containing nuts are not allowed at any of our activities.
Type a question
Hold Harmless
By submitting this application and waiver, you release (ATTS) A Time To Shine and its affiliates and employees from all claims related to any injury which may be sustained by you or your child while attending any of our workshops, performances, rehearsals or events associated with ATTS. You affirm that you currently have and will continue to carry proper medical, health, hospitalizations and accident insurance, which you consider adequate for you and your child.
Parent/Guardian Name

Clear
Date

Month Day Year
Date
Parent/Guardian Name Date
Photo Waiver
We would like your permission to use your child’s photo in our advertising, including but limited to social media, print media and possible TV.
Parent's Name

Clear
Parent's printed name
Parent’s signature Parent’s printed name
Should be Empty: