"A TIME TO SHINE

"A TIME TO SHINE
Performing Arts Camp Registration July 5th - July 8th 9AM - 2PM

Non-Refundable Tuition $390 *Checks made out to Karen Iovanna, Cash, Venmo, Apple Pay and Cash App Accepted
Name
Age
Address
Parent/Guardian Name
Parent/Guardian Home phone
Format: (000) 000-0000.
Mobile
Format: (000) 000-0000.
Parents/Guardian email
example@example.com
Performer's email
example@example.com
Emergency Contact Name
Home phone
Format: (000) 000-0000.
Mobile
Format: (000) 000-0000.
to participate in ATTS (A Time to Shine) Camp.

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.

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 Signature

Clear
Date

MonthDayYear
Date
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.
Performer's signature

Clear
Parent's signature

Clear
Should be Empty: