• Summer Musical 2026 Registration

  • July 20 - August 7th, 2026 (3 weeks)
    Mon-Fri 9AM-3PM

    Performances August 7,8 & 9
    Canterbury School - Maguire Auditorium


    Ages 7-18 - 
    Tuition $550 - Sibling discount $500

    (One form per student)

  • Student Information

    (One form per student)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Participant's Date of Birth*
     - -
  • School and Entering Grade   *         

  • Gender*
  • Parent/Legal Guardian Information

  • Relationship to Student   *      

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contacts Information

  • In the event of an emergency, KLM Productions will attempt to contact the parent(s)/guardian first; however, if the parent(s)/guardian cannot be reached, please provide the name and contact numbers of at least two additional people whom KLM productions may call in case of an emergency.

  • Relationship to Student      

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Relationship to Student      

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Student Dismissal Contacts

  • KLM Productions takes the safety of its students very seriously. If your child is under age 13, it is MANDATORY that he/she/other be dismissed to a parent/guardian or an authorized person at a meeting place to be designated by KLM Productions. If your child is age 13 or over and under 18, they may leave on his/her/them own ONLY IF KLM Productions has received a dismissal form signed by a parent/guardian.

    Please list two authorized persons who may pick up the student after class/rehearsal/performance.

  • Relationship to Student      

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Relationship to Student      

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Medical Information

  • Does the student have any physical, mental, or any other medical conditions that KLM Productions should be aware of?*
  •    

  • Does the student have any allergies which KLM Productions should be aware of?*
  •    

  • Does the student take any medications for any reason?*
  • If the student takes medication, please check the box indicating your acceptance of the following statement: I understand that KLM Productions is NOT PERMITTED to administer any medications. I have read and understand this statement*
  • Does the student have any special needs or disabilities that KLM Productions should be aware of?*
  •    

  • Health Insurance/Medical Information

  • Physician's Name      

  • Format: (000) 000-0000.
  • Health Insurance Provider      

  • Health Insurance Policy Number/Group Number
        

  • If you do not have health insurance, you understand that you will assume all responsibility for payment(s) of medical and/or dental treatment if an injury does occur while your child is a student of KLM Productions. KLM Productions will not be responsible for any medical and/or dental costs.*
  • POLICY AGREEMENT (IMPORTANT - PLEASE READ)

  • In consideration of my child’s acceptance to and participation in a program of KLM Productions, I understand and agree to the following: Authority to Register and/or to Act as Agent. I, the undersigned, represent and warrant that I am the parent or legal guardian of the above-named child and have the legal authority to enter into this Policy Agreement on his/her behalf and by proceeding with this registration I agree that the terms and conditions of the Policy Agreement and Registration shall apply equally to myself and my child. By registering my child,

     

    I agree and consent to the collection of my child's information that I provide to KLM Productions for the purposes of registration. Notice of Changes to Information.

     

    I understand and agree that it is my responsibility to reasonably promptly notify KLM Productions of any changes to the information listed in the Contact and Medical Information Sections (Sections 2 & 3) of the Registration Form. Student Dismissal.

    I understand and agree that KLM Productions is not a professional childcare provider.

     

    If my child is under the age of 13, I acknowledge it is MANDATORY that he/she be dismissed to a parent/guardian or an authorized person listed in the registration at a meeting place to be designated by KLM Productions. No child will be released to anyone not authorized in writing by the parent/guardian and listed in the registration.

     

    Persons not known by staff, instructors and/or volunteers will be asked to show identification.

    If my child is age 13 or over but under age 18, I understand that he/she may leave on his/her own only if KLM Productions has received a dismissal form signed by a parent/guardian.

  •  Payment of Tuition

  • I understand that I am obligated to pay tuition and any applicable fees IN ADVANCE. KLM Productions  accepts payment by cash, check, or money order. Please make checks and money orders payable to KLM Productions, LLC.

     

    Withdrawal From Enrollment.

    If I withdraw my child before five (5) days after the first class session I will receive a 50% refund of tuition paid, less all non-refundable fees. After the sixth day there will no refunds. I further understand and agree that notification of withdrawal must be IN WRITING in order to effectively withdraw my child and/or terminate enrollment.  All withdrawals are effective as of the date on which KLM Productions is notified IN WRITING of my intent to withdraw my child/terminate enrollment.

     

    Decline/Returned Check Fees:

    I understand that KLM Productions will assess a $20.00 fee if my credit card is declined for any reason and I have not rectified my account within seven days. I further understand that I will incur a $20.00 fee for any returned check.

     

    Photo and Publicity Consent, Waiver and Release.

    I hereby irrevocably consent to and authorize the use and reproduction by KLM Productions of any and all photographs, recordings, videotapes, and/or other reproductions of likenesses of my Child’s person or characteristics (“reproductions”) for any purpose whatsoever, without compensation to my Child. All reproductions shall constitute the property of KLM Productions, solely and completely. I assign and release all rights to said reproductions and authorize KLM Productions, or others authorized by it, to exhibit, broadcast, and/or distribute or otherwise further reproduce said reproductions in whole or in part over or in any medium whatsoever, including, but not limited to, marketing materials, newsletters, newspapers, film, Internet, social media, cable and television, with or without compensation in perpetuity.

     

    I also release, discharge and agree to hold harmless KLM Productions, or any persons, or entities acting under its permission or authority from any liability arising from the use of said reproductions.

  • Removal from Program

  • KLM Productions takes bullying and its impact seriously. Bullying of any form is not tolerated in our facility, whether carried out by a child or an adult. Staff, children and parents will be made aware of our position on bullying. Bullying behavior is unacceptable in any form.

     

    I understand and agree that my child’s acceptance into any KLM Productions program is contingent upon his/her ability to function cooperatively while participating in the program. KLM Productions reserves the right to remove my child from any program for behavioral issues. In the event my child is removed from any program, a pro-rated tuition will be provided, less any non-refundable fees.

    Medical Consent and Waiver.

    I certify that I accept complete responsibility for the health of my child and that to the best of my knowledge he/she is in good health. I understand and agree to pay all fees and/or charges incurred for any medical and/or dental services rendered for and to my child. I understand that KLM Productions will not be responsible for any medical and/or dental costs incurred by my child while he/she is participating in any KLM Productions program.

    Authorization for Emergency Care & Treatment.

    I understand and agree that as parent/guardian I will be contacted if medical attention is required while my child is participating in any KLM Productions program. If I cannot be reached, I authorize KLM Productions, its employees, volunteers or representatives, to arrange for treatment as necessary, which may include, without limitation, hospitalization, diagnostic tests, and/or surgery. I authorize the release of information and medical records to facilitate the medical, surgical and psychiatric care of my child.

    I further authorize any KLM Productions employee, volunteer or representative to administer first aid to my child and give permission for the transportation of my child to the hospital by emergency vehicle.

    Assumption of Risk.

    I acknowledge and understand that there are risks to which my child may be exposed by participating in any KLM Productions program. The risks may arise not only from my child’s actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, or the condition of KLM Productions’ premises or of any props/equipment used. I also acknowledge and understand that there may be other risks not presently known or reasonably foreseeable.

    I shall assume the risks arising out of, connected with or resulting from my child’s participation in any TKLM Productions program.

    Defend, Indemnify, Hold Harmless.

    I, for and on behalf of myself, my child and each of our respective heirs, beneficiaries, executors, administrators, guardians, representatives, agents, trustees, predecessors, successors, assigns and any and all other parties in interest, shall defend, indemnify and hold harmless KLM Productions, its officers, directors, boards, members, volunteers, employees, agents, representatives, insurers, attorneys, affiliates, successors and assigns, from and against any and all claims, demands, judgments, actions, suits, damages, injuries, harm costs, liabilities, losses, or expenses (including reasonable attorney's fees) arising out of, in connection with, or resulting from my child’s participation in any KLM Productions program.

    Waiver and Release of Liability.

    I, for and on behalf of myself, my child and each of our respective heirs, beneficiaries, executors, administrators, guardians, representatives, agents, trustees, predecessors, successors, assigns and any and all other parties in interest (“Releasors”), do hereby irrevocably, unconditionally, fully, finally and forever waive, release and discharge KLM Productions, and all of its past, present and future directors, officers, Boards, members, employees, volunteers, agents, servants, attorneys, assigns, insurers, representatives, partners, affiliates, predecessors and successors in interest (“Released Parties”), of and from any and all claims, judgments, actions, causes of action, suits, sums of money, demands, rights, damages, injuries, costs, obligations, contracts, agreements, promises, liabilities, losses, debts, harms, expenses, fees (including attorneys’ fees), and compensation of every kind or nature whatsoever, whether based on tort or any other theory of recovery, in law or in equity, whether for compensatory or punitive damages, whether known or unknown and whether foreseen or unforeseen, which Releasors ever had or claimed to have, now have or claim to have, which may arise in the future, or which Releasors hereafter may have or claim to have against the Released Parties arising out of, in connection with, or resulting from my child’s participation in any KLM Productions program.

    Limitation of Liability.

    I acknowledge that under no circumstances, including negligence, shall KLM Productions be liable for any direct, indirect, incidental, special or consequential damages incurred or suffered by my child arising out of, in connection with, or resulting from his/her participation in any KLM Productions program.

    Severability.

    If any provision of the Policy Agreement and Registration Form is held to be invalid, void or unenforceable, the balance of its provisions will, nevertheless, remain in full force and effect and will in no way be affected, impaired or invalidated.
    Headings. The headings of the Policy Agreement are for convenience or reference only, and shall not limit, expand, modify or otherwise affect the meaning hereof. Certification. I certify that I have read KLM Productions’ Policy Agreement and fully understand its contents, and that my signature below indicates that I agree to abide by the terms and conditions of the Policy Agreement and any other terms and conditions set forth in this Registration Form. 

  • Parent Acceptance Signature Page

  • Student Dismissal Form (ages 13 -18)

  • I understand that the following student

    This student does not require pickup by an authorized adult after classes, rehearsals and/or performances, and is allowed to leave on his/her own.

  • Program Registration Payment

    Please complete Registration Payment Form. Click on "Register and Pay" after Payment form is completed at very bottom of page
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