Final Act Drama
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Print a Registration form & mail or register on-line below!
Semester Registration Form
File Size:
105 kb
File Type:
pdf
Download File
Screen Acting Registration Form
File Size:
74 kb
File Type:
pdf
Download File
Camp Registration Form
File Size:
90 kb
File Type:
pdf
Download File
If you have problems with online registration, call the office at 804-858-3446.
Registration
Teaching Site?
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FAD Studios / Main Office
BES Studios
Chesterfield Studio - Claypoint
Richmond Christian School
West End Christian School
Richmond Piano Store
Guardian Christian Academy
Clover Hill Elementary
St. Benedict Catholic School
Gregory Memorial Church
Fredericksburg Art Studio 1
New Bridge Academy
Jetersville Baptist Church
Student Home
What are you registering for?
*
Screen Acting Class
Movie Making Camp 2012
Art Camp 2012
Drama & Acting Camp
Drama Classes
Film Production Class
Art Classes
Young Film Making Camp
Music Camp
Private Lessons
Session Dates
*
Other
Fall Semester
Spring Semester
Camps
Student's Name
*
First
Last
Student's Information / School they attend.
*
Student's Name / School / Grade / Gender / Allergies? / Birth Date / Age / Email / Lives with?
Student's Email
*
Student's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Student Home Number
*
-
-
Student Cell Number
*
-
-
Student Work Number
*
-
-
Parent 1
*
First
Last
Parent 1 Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parent 1 Email
*
Parent 1 Home Phone
*
-
-
Parent 1 Cell Phone
*
-
-
Parent 1 Work Phone
*
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Parent 2
*
First
Last
Parent 2 Email
*
Parent 2 Home Phone
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Parent 2 Cell Phone
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Parent 2 Work Phone
*
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Parent Information
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Custody arrangement / People Authorized to pick up minor student / Parent 2 Address is different than Parent 1
Payment Information and Releases:
Full payment req. before 1st class unless financing option is chosen. Monthly payments must be secured with a valid credit card by filling out the
Credit/Debit Card Authorization Form.
Online Payment:
Credit Card On-Line by clicking here
Check Payment: to be paid to - Final Act Drama Returned check fee = $35 Monthly payments due on 1st of month. A $15 late fee applies on the 16th. Payment can be made by mail to:
Final Act Drama
7206 Port Side Drive
Midlothian, VA 23112
before the registration deadline. (See Flyer) A refund for tuition payment may be received, at a prorated rate minus 25%, before the 2nd week of classes only. Not applicable to 5 week courses. The registration fee is non-refundable.
Release and Waiver of Liability, Assumption Of Risk, and Indemnity Agreement ("Agreement"):
In consideration of participating in class activities I, the minor's (the student as identified on this form) parent and/or legal guardian, or adult participant, represent that I understand the nature of this Activity and that I, or the participant, is in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, participant will immediately discontinue participation in the Activity. I fully understand that this activity could involve accidental risks of bodily injury,
including permanent disability, paralysis and death, which may be caused by participants own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releases" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility of losses, cost, and damages I incur as a result of participants, or my, participation in the Activity. I hereby release, discharge, and covenant not to sue Final Act Drama, LLC, its Respective administrators, directors, agents, officers, volunteers, and employees, other participants, and sponsors, advertisers, and , if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEEES" herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releassees from any loss, liability, damage, or cost, which any may incur as the result of such claim. I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without an inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extend allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
Photo / Interview Release:
Final Act Drama staff may photograph or video tape students occasionally, with the intent of using the pictures in various publications and/or on our web site (www.FinalActDrama.com). Similarly, Final Act Drama may wish to promote our student's accomplishments by sending press releases to appropriate newspapers or publications. In addition, representatives of the media may be interested in stories relating to Final Act Drama and may wish to interview, photograph or videotape our students. Completing this registration process indicates that you grant permission as indicated below. I grant permission for advertising and press releases to be distributed about my son/daughter, myself (as a participant), and for photographs, video, of and/or interviews with myself(as a participant) or my child to appear in other mediums for Final Act Drama.
Parental Consent:
I, the minor's parent and/or legal guardian, or participant myself, understand the nature of the above referenced activities and the Minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby Release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses or damages on the minor's account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee may incur as the result of any such claim.
Online submission of this registration constitutes an acknowledgement and signature to the conditions listed above.
Submit
Don't forget to pay for your class!
You can do it on-line by clicking here!