Please Fill out this form in it's entirety! Your child is not registered until

Liability Waiver and Code of Conduct Forms are signed!

Student First name

Student Last Name

Student Date of birth

Month

Day

Year

Parent/Guardian First and Last

Parent/Guardian Email

Parent/Guardian Phone #

Address

If you have more than one student joining tech academy, please list their full name(s) and age(s) here.

Emergency Contact Name

Emergency Contact Phone

Tech Academy is a NON-AUDITION way to participate in our Musical Productions! A $50 deposit PER STUDENT is required upon registration to hold your spot, and will be applied to your tuition of $300 per student for our 4-month session

Deposit$50

By signing, I acknowledge that I have read, understood, and agree to all the terms and conditions stated in this agreement. This agreement is signed on behalf of all of the participants listed in this form.

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I declare that I have read and acknowledge the IMAGINE PERFORMING ARTS CENTER PARTICIPATION, AGREEMENT, LIABILITY WAIVER, AND POLICY ACKNOWLEDGEMENT,

https://www.imagineperformingartscenter.org/liabilitywaiver

I declare that I have read and acknowledge the IMAGINE PERFORMING ARTS CENTER STUDENT CODE OF CONDUCT

https://www.imagineperformingartscenter.org/codeofconduct

By signing, I confirm that I have read, understood, and agree to the student code of conduct, and I am aware of the consequences of not adhering to it. This code of conduct is being signed on behalf of all of the participants listed in this form.

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