Clone of ArtsReach Dance 101 with Crestview Dance Studios Registration Form

Participant Details:
ArtsReach Masterclass Creative Writing with Taylor Ryan Registration Form
Full Name of the Masterclass Participant*

First NameLast Name
Zip Code*
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Age of participant*
If the participant is under the age of 18, name of parent or guardian - Emergency Contact*

First NameLast Name
Contact Phone Number*
Format: (000) 000-0000.
Relationship to Participant
Which class are you planning to attend?
Photo Release

I hereby give and grant unto Kentucky Performing Arts permission to use my child's name, photograph, and/ or videotaped image in publications, video productions, and/or Kentucky Performing Arts e-communications, including website and social media.
I do further certify that I am of full legal capacity to execute the foregoing authorization and release.
YesNo
If participant is under the age of 18, parent or guardian signature required to participate in the ArtsReach masterclass*

Clear
We would like to send a post-event survey and keep you updated on future masterclass/ArtsReach opportunities. If you would like to participate, please share your email address below.
example@example.com
Thank you for registering. You will receive a follow up email with arrival time, parking information, and building entry instructions.
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ArtsReach Masterclass Creative Writing with Taylor Ryan Registration Form