2023 Fall Adult Improv Sampler Registration

2023 Fall Adult Improv Sampler Class Registration

Thursday, October 25, 7-9PM at the CSz Richmond Theater
Thanks for your interest in CSz Richmond Theater's 2023 Fall Adult Improv Sampler class.
Name*

First NameLast Name
Age ( Must be 18 or older and no longer in high school to participate in adult classes.)*
Pronouns
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Email*
example@example.com
How did you hear about CSz Richmond Theater?*

Returning studentGoogle SearchFacebookLocal print ad (newpaper, magazine, etc)Local website camp listingsComedySportz email newsletterFriend's recommendationOther
Emergency Contact*

First NameLast Name
Emergency Phone*
What name and pronouns should we use for you if there is a need to contact your Emergency Contact(s)?
Other Emergency Numbers
Please share any accommodations or medical conditions that may affect movement or any aspect of performance (our stage is ADA compliant).
MEDICAL PERMISSION
By submitting this electronic registration, I give my permission to CSz Richmond Theater to administer any necessary first aid to the student in case of emergency and, if warranted, to take the student to an emergency clinic or hospital. I understand that CSz Richmond will contact the person listed as an Emergency Contact to inform that person of any incidents.*

I consent to giving medical permission as stated above.
RELEASE OF LIABILITY
In consideration of my participation in the activities of CSz Richmond Theater, I hereby fully release and discharge, and save whole and harmless, ComedySportz Richmond, ComedySportz Improv Theatre, CSz Richmond Theater, Yes Balloon, their owners, officers and employees, their successors or affiliates from any and all liability for damages or claims for damages, causes of action, claims, demands, costs, expenses, and compensation of any nature whatsoever, for any and all known and unknown personal injuries, sickness, illness, or disorder, which I may now hereafter have, arising out of or in connection with participation in any activities whatsoever of ComedySportz Richmond, ComedySportz Improv Theatre, Yes Balloon, or CSz Richmond Theater.By submitting this electronic registration, I state that I have read, understood, and willingly sign this release.*

I acknowledge and accept the release of liability.
PHOTOGRAPHY PERMISSION
I give my permission to CSz Richmond Theater to take photographs of this student in class activities for the purposes of promotion and marketing of CSz Richmond Theater Improv Classes and training for future use. I understand that these photographs are the property of CSz Richmond Theater. CSz Richmond Theater will provide a copy of any photographs upon request.*

Yes, I agree to give photography permission.No, I do not give photography permission.
Code of Conduct
CSz Richmond Theater has established a detailed Code of Conduct to which every person associated with CSz Richmond Theater MUST agree. As a student at CSz Richmond Theater, either online or in person, you must first read and agree to adhere to this policy.

Please be sure to read this policy completely before registering to be a part of this class.
Please confirm that you have read and agree to our Code of Conduct (please note if you do not agree, you will be unable to continue registration).*

I have read the CSz Richmond Theater Code of Conduct on the CSz Richmond Theater website at the link above, and I agree to abide by this code.
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2023 Fall Adult Improv Sampler Class Registration

MEDICAL PERMISSION

RELEASE OF LIABILITY

PHOTOGRAPHY PERMISSION

Code of Conduct