Registration Form – Adult

Calgary Physical Theatre Acting Workshops for Adults

Spring Class registration is now closed.

* Required fields

Programs*
All programs are held at Parkdale Community Centre (3512 5 Ave. N.W.)

Participant Name*

Birthdate*

Medical Conditions / Special Needs*  Yes No

If yes, please specify

Phone*

Your Email*

Address*

Postal Code*

In case of emergency contact*

CONFIDENTIALITY

All information contained in this form will be kept confidential and not released to any other organization.

REFUND POLICY

In order to receive a refund for withdrawal from a program, Theatre A Go-Go (T.A.G.G.) must be notified a minimum of one week prior to the commencement of program start date. After this, no refunds will be given. A $25.00 administration fee will be deducted from refund for withdrawal from program. Classes will not be prorated for participant absences. In the event that a program does not fill its minimum enrollment requirement, T.A.G.G. reserves the right to cancel the program up to one week prior to commencement and a full refund will be returned.

MEDIA RELEASE

I give permission to be photographed or videotaped and understand that it might be used for any of the following:

  • Promote the program in which I am participating.

  • Promote T.A.G.G.

  • Promote the above through media organizations (television, print, radio, and internet). This includes participant interviews with media.

CONSENT

I acknowledge that as a participant in programs with T.A.G.G., that the choice to participate brings with it the assumption of those risks and results that are part of these activities. I agree to release and hold harmless T.A.G.G., their trustees, officers, directors, employees, and agents from and against all claims for damages to my personal property or bodily injuries arising out of my participation in these activities. I have provided T.A.G.G. with all the necessary medical information and I authorize T.A.G.G to administer First Aid and to secure medical care in an emergency as deemed appropriate by the attending physician/s.

How did you hear about us?*

Payment
Payment holds your spot in the Class/Camp and is to be submitted with registration. You may either pay with a Credit Card or ETransfer. Please note that if you pay with Credit Card, you will be charged an extra $10 service fee, per registration. Please let us know how you would like to submit payment. *  Credit Card ETransfer
You will receive further direction for payment after submitting this form.

I* (Name of registrant) have read and understand the terms of registration and payment for these classes.