LITTLE STARS FEBRUARY 2021

LITTLE STARS

LITTLE STARS WITH MS MOLLIE (Ages 4-7)

Saturdays, 11:30-12pm

February 6, 13, & 20, 2021

Little Stars ONLINE
Instructor Ms Mollie
Saturdays 11:30-12pm

Suggested Donation $25

PAY WHAT YOU CAN

Online Processing Fee

$2.00

Student Name

Date of Birth

Parent/Guardian #1 Contact Name

Parent/Guardian #2 Contact Name

Primary Phone Number

Primary Email

Total

$2.00

Coupon Code

ONLINE CLASS REQUIREMENTS*

I understand that in order to participate in this class I will need to provide a computer or phone with camera access. I will also need to download ZOOM. I will be sent an invite code to join a class. I understand that Starbound Theatre will not be held liable for any connection issues on my end of connection.

PACIFIC STANDARD TIME*

I understand the times listed for classes are Pacific Standard Time.

Terms

I, declare that I am the participant, and/or the parent or legal guardian of participant (hereinafter referred to as “Participant(s)”) I, the undersigned, do hereby agree to participate and/or allow Participant(s) to participate in the program listed above. I am aware that participation in the program involves an element of risk and danger of accidents. I am participating and/or allowing Participant(s) to participate in this activity with knowledge of the danger involved. I accept and assume all risks of injury, death, and property damage. I agree to release, waive, discharge and convenant not to sue Starbound Theatre, Creative ArtReach, Youth Theatre Summit, David Rodgers Productions, its officers, agents, volunteers or employees, and any associated agents, staff and volunteers from all actions, claims, demands or liability for any bodily injury, death or property damage arising out of or in any way connected with my and/or Participant(s) participation in this activity

I also grant full permission to Starbound Theatre, Creative ArtReach, Youth Theatre Summit, David Rodgers Productions to use my and/or Participant(s) name and/or photograph, videotape, motion picture or recording for any publicity or promotion purposes without obligation, compensation or liability.

BY SIGNING THIS RELEASE AND WAIVER OF LIABILITY, I AGREE AND ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THIS DOCUMENT. I UNDERSTAND I AM VOLUNTARILY GIVING UP LEGAL RIGHTS AND THAT THIS IS A LEGAL, BINDING AND ENFORCEABLE CONTRACT. I UNDERSTAND THERE ARE NO REFUNDS ONCE PROGRAM STARTS. I UNDERSTAND IF I REQUEST A REFUND BEFORE A PROGRAM BEGINS IT IS SUBJECT TO AN ADMINISTRATIVE FEE AND A PRO-RATED AMOUNT WILL BE REFUNDED.

BY CHECKING THE BOX, I UNDERSTAND THIS RELEASE AND WAIVER OF LIABILITY, I AGREE AND ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE INFORMATION. I UNDERSTAND I AM VOLUNTARILY GIVING UP LEGAL RIGHTS AND THAT THIS IS A LEGAL, BINDING AND ENFORCEABLE CONTRACT. I UNDERSTAND THERE ARE NO REFUNDS ON MATERIALS FEES. I UNDERSTAND THERE ARE NO REFUNDS ON REGISTRATION FEES AFTER THE FIRST CLASS. I AM FULLY AWARE OF MY RESPONSIBILITY TO PARTICIPATE IN FUNDRAISERS AND THAT I AM LIABLE FOR ANY MATERIAL GOODS USED FOR FUNDRAISING PURPOSES.
BY CHECKING THE BOX, I UNDERSTAND THIS RELEASE AND WAIVER OF LIABILITY, I AGREE AND ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE INFORMATION. I UNDERSTAND I AM VOLUNTARILY GIVING UP LEGAL RIGHTS AND THAT THIS IS A LEGAL, BINDING AND ENFORCEABLE CONTRACT. I UNDERSTAND THERE ARE NO REFUNDS ON MATERIALS FEES. I UNDERSTAND THERE ARE NO REFUNDS ON REGISTRATION FEES AFTER THE FIRST CLASS. I AM FULLY AWARE OF MY RESPONSIBILITY TO PARTICIPATE IN FUNDRAISERS AND THAT I AM LIABLE FOR ANY MATERIAL GOODS USED FOR FUNDRAISING PURPOSES.

I have read and agree to the terms above.

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