Centre Stage Theatre     Royal Oak Class Registration Form

Name Of Participant-                                             Age-               

Class Enrolled In-                                                                            

Address-                                                                                                                                  

Phone Number-Daytime-                        Evening-                         Email-                                     

If under 18, Parent/Guardian Name-                                                                 

Emergency Contact Number-                               Alberta Health Care Number-                                    

Does the participant have any medical problems that the instructor should be aware of? Yes/No (circle one)

If Yes, Please Specify-                                                                  

Payment Of Course Fees Is Due Upon Registration.  Cash or Cheque Only.   

Withdrawl And Transfers Are Permitted Up Until One Week in Advance Of Course Start Date.  Full Refund/Transfer will only be provided if notification received one week before the Course Start Date.  After this deadline no refund will be given.  Classes will not be prorated for student absences. 

In the event that a course does not fill its minimum enrollment requirements, Centre Stage Theatre reserves the right to cancel the class and a full refund will be returned to course registrants.

Authorization-    I hereby allow ______________________ to participate in Drama Classes taught by Bonnie Gratz and/or the other instructors of Centre Stage Theatre and held at Royal Oak Victory Church.

I will allow photos to be taken for the purposes of promotion, Centre Stage advertising and parent purchase.                         Yes  ____            No  ____

I have read and understand the terms of registration and payment for these classes.

I will not hold Bonnie Gratz and/or other instructors of Centre Stage Theatre or Royal Oak Victory Church liable for any accident or injury that may take place during, or on route to or from these classes.

Signed _________________on this the ___ day of ________________, 200__.

Print Name________________________ Witness______________________________

Return by mail to Centre Stage Theatre Co., 57 Rocky Ridge Circle NW, Calgary, AB T3G 4P2