METROPOLITAN THEATRE CONSERVATORY

After-School REGISTRATION FORM:

15% off tuition for additional sibling(s)

Tuition is due with registration form BEFORE the first class, and is non-refundable after the first class. Payment arrangements can be made by calling the office. To ensure the positive experience of all students in the class, we reserve the right to dimiss from class, any student who displays disciplinary behavioral/disruptive conduct during class.

STUDENT/PARENT INFORMATION

Student Name:...............................Grade:...............
Enrichment Class/Location/Time:.................................

Parent(s):.....................................................

Employer:....................................................

Address:..................................................City:........................Zip:...........

Home Phone:....................WorkPhone:..................
Cell/Pager:......................

E-Mail:..................................................................

Emergency Contact Names and Numbers:....................................

Health Insurance Policy and Number:.....................................

Any known allergies?........................


PARENT CONSENT AND AGREEMENT

Please read carefully and sign:

I agree to place my child(ren) in the Metropolitan Theatre After-School Enrichment program to held at our partner in Education schools.

I agree to the policies and procedures outlined and understand that tuition is non-refundable also give consent for my child to be photographed, videotaped, and/or interviewed for publication/broadcast and to be used in conjunction with PR activities, press releases, and articles on behalf of MTC.
I also agree to the late fee pick-up policy. The first 5 minutes are free every minute thereafter is $1.00 per minute. I understand that if I am continously late in picking up my child, my child may be dismissed from the program.

In placing my child(ren) in this program, I fully understand and agree to hold The Metropolitan Conservatory, and its instructors and administrators, and the partner in Education Schools free from any liability , costs and claims arising from any injury, illness, and/or claims in the program provided. Should my child(ren) need medical attention, I understand every effort will be made to contact me. If I cannot be reached, I give my permission for my child(ren) to be treated by a competent physician and to receive emergency medical treatment.

Signed:................................................................................................Date:...........................

PLEASE MAKE CHECK PAYABLE TO Metropolitan Theatre Conservatory, Inc.

and MAIL TO:

METROPOLITAN THEATRE CONSERVATORY
P.O. Box 889082
Atlanta, GA 30356

Questions? Please call 770.394.1461

EDUCATING, EMPOWERING, PERFORMING
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After-School Enrichment