Pitch Perfect for Kids Winter/Spring 2021 Registration Form

Theme this season it ABBA!

Group and solo vocal experience. Limit of 15 students.

Monday Nights: 9 weeks with a performance the 10th week.

Starts Monday January 11, 2021

Performance Monday March 15, 2021

$260

We will follow the Covid-19 guidelines set by the County Health Department and the State of Maryland. Therefore, classes will be limited to no moe than 15 students with 2 vocal directors. We will require a mask. Students will be spaced apart in the classroom.

Singers Information

Singers's Name *

First Name Last Name

Nick Name (if applicable)

Birth Date *

Month Day Year

Age *

Grade

Gender

Male Female

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Parent/Guardian Information #1

Name #1 *

First Name Last Name

Cell Number #1 *

Area Code Phone Number

E-mail #1 *

Home Number #1

Area Code Phone Number

Parent/Guardian Information #2

Name #2

First Name Last Name

Cell Number #2

Area Code Phone Number

E-mail #2

example@example.com

Home Number #2

Area Code Phone Number

Emergency Information

Emergency Contact's Name

First Name Last Name

Relationship

Phone Number

Area Code Phone Number

Alt. Phone Number

Area Code Phone Number

Does your singer have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is your singer prescribed an inhaler? If yes, please explain any instructions.

Is there anything else you would like us to know about your singer?

Informed Consent and Acknowledgement

I understand and agree that in participating in any classes, programs, workshops, camps, events, or activities there is a possibility of physical illness, bodily injury, disability, paralysis, or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of Theater in the Park, LLC classes, programs, workshops, camps, events, or activities. I also exempt, release, and indemnify Theater in the Park, LLC, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by Theater in the Park, LLC. I further hereby voluntarily agree to waive my rights and that of my heirs and assign to hold Theater in the Park, LLC its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them.

This portion of the agreement shall be in effect from this day forward.
My child and/or I have read, understand and accept the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon the parties during the entire period of participation in the said program. I am signing this form of my own free will and I am not under duress to sign this form.
Without limitation, or obligation, any and all media, including photographs, film footage, or tape recordings, which may include my or my child's image or voice for purposes of art, advertising, education, or promotion, or for any other purpose consistent with the Mission, and release from any claim or liability to that use. The images become the exclusive property. I waive all rights to inspect it/or approve any text that may be used in conjunction with the media and the use to which it may be applied.

Your signature at the end of the form validates your understanding and exceptance of the information above.

Workshop Requirements

Participants will do their best to miss no more than 2 rehearsal at most.

Student will practice at home to become well rehearsed in their part.

Worshop Fee Includes

1. Sheet Music Binder and all practice and performance music.

2. Professional Directors and staff to student ratio for optimum learning.

3. One-on-one solo instruction and feedback (7:30 - 8:00 scheduled time)

4. 9 weeks/85 minutes of instruction each week

5. Final performance for family (also live streamed for extended family and friends)

NOTE: All fees for this workshp are non-refundable. If a student is unable to attend the workshop and notice is given one month prior to start date, 75% of the workshop fee can be used toward future Theater in the Park workshops. After that date, the registration and tuition fee for the assigned workshop will be forfeited as the tuition fees are used to fund the staff, matarials and space as projected for the workshop. If "in person" classes have to be postponed due the to pandemic, classes and instruction will continue virtually and tuition will remain the same with no possibility of reimbursement.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature *

Clear

Class Time *

Pitch Perfect Vocal Workshop 6:00 - 7:30pm $ 260.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Pitch Perfect for Kids Registration