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West Shore Theatre Fall Session (K-3) Squirm! TUESDAY Session
Amount
*
$300
-
TUESDAY Session Payment
Contact Information
Parent/Guardian Name
*
First Name
Last Name
Contact Email
*
Verify Email
*
Performer Participant Name
*
First Name
Last Name
Performer Date of Birth
*
(mm/dd/yyyy)
Grade
*
(2024-25 School Year)
select one
Grade K
Grade 1
Grade 2
Grade 3
School District
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Primary Phone
*
Secondary Phone
*
Performer T-Shirt Size
*
select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Safety and Waiver Acknowledgement
*
The West Shore Theatre strives to conduct its programs safely and expects all participants to follow the safety rules and instructions which have been designed to protect and enhance the participants' safety. I understand that the West Shore Theatre shares my concern about the safety of my child. However, I understand that the West Shore Theatre does not accept responsibility for injuries, damages, or loss which my child may suffer while participating in West Shore Theatre programs. Accordingly, I agree to assume the full risk of any physical injuries, damages, or loss, regardless of severity, which I or my child may sustain as a result of participating in any and all activities connected to or associated with any West Shore Theatre programs. On behalf of myself, my spouse, or my child, I hereby waive, relinquish, fully release, and discharge, and further agree to imdemnify, hold harmless, and defend the West Shore Theatre, its directors, officers, agents, volunteers, servants, employees, and landlords against any and all rights, claims, causes of action, and liabilities of any sort that I or my child may have now or in the future, including but not limited to, any claims for personal injuries, medical expenses, property damage, or losses, sustained by me or my child arising out of, connected with, or in any way associated with the activities of West Shore Theatre programs.
I agree that I have read the Safety and Waiver Release and agree to its terms and conditions.
Cancellation/Refund Policy Acknowledgement
*
In the event you need to cancel and withdraw your participant from a session, the following fees apply: $50 service fee up to 1 month prior to scheduled session start date (you will get back all but $50 of your registration fee), $100 service fee 7-14 days prior to scheduled session start date (you will get back all but $100 of your registration fee). No refunds will be available 6 days or less prior to scheduled session start date. A participant withdrawn after attending one or more days of a session will not be issued a refund. The West Shore Theatre reserves the right to change these policies based on individual circumstance. In the event the West Shore Theatre cancels a session, participants will be offered a full refund. If the session is postponed, participants will receive a credit towards the same postponed session.
I agree that I have read the Cancellation/Refund Policy and agree to its terms and conditions.
Use of Photography, Video, or other Media
*
I agree that any photography, video, or audio taken of my child while participating in a class, a special event, or use of a facility may be used by the West Shore Theatre for promotional purposes
Yes, I agree.
Add 3% to my total amount to help cover the payment processing fees