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Summer Camp Registration Form 2010 Metropolitan Theatre Conservatory Tuition & Discount Information:(includes snack, scripts, CD, props, crafts supplies, production & registration fees) $50 off for each additional sibling(s) $25 off each additional session. $175 NON-REFUNDABLE deposit required. Tuition is NON-REFUNDABLE. NO REFUNDS. Tuition may be used towards future camps if you are unable to attend the week for which you registered. Remaining camp balances are due by April 15th. T-Shirts/Hoodies must be paid for at the time of registration. Please circle size: child medium adult small adult medium adult large
Please list the SESSION DATE(s) and location(s) for which you are registering 1.
2. 3. Student: Rising Grade/School:
Parent(s): Address: City/Zip: E-Mail: Home Phone: Cell Phone: Work Phone/Employer: Any known allergies? Emergency Contact Names and Numbers: Health Insurance Policy and Number: Please list any previous theatre training classes/camps,how long, & where: PARENT CONSENT AND AGREEMENTPlease read carefully and sign: I agree to place my child(ren) in The Metropolitan Theatre Conservatory Summer Camp program held at the Davis Academy. I understand instructors are subject to availability and to change.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 Kendrick & Company's MTC.In placing my child(ren) in this program, I fully understand and agree to hold The Metropolitan Conservatory,directors, and its instructors and administrators, the Davis Academy, and the Gym at Peachtree Presbyterian 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 and Dated: PLEASE MAKE CHECKS or MONEY ORDERS PAYABLE TO & MAIL TO: METROPOLITAN THEATRE CONSERVATORY, Inc. P.O. Box 889082 Atlanta, GA 30356 Questions? Please call the office at 770.394.1461
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