METROPOLITAN THEATRE CONSERVATORY

REGISTRATION FORM:

$25 off session class for each additional sibling(s)

Tuition and a ONE TIME per calendar year registration/supply fee of $25 is due with registration form BEFORE the first class, and is non-refundable.
To ensure the positive experience of all students in the class, we reserve the right to dismiss from class, any student who displays disciplinary behavioral/disruptive conduct during class.

STUDENT/PARENT INFORMATION

Student Name:.......................................Grade & Age:...............
Class/Location/Time:...........................................

Parent(s):.....................................................

Employer:....................................................

Address:..................................................City:........................Zip:...........

Home Phone:....................WorkPhone:..................
Cell/Pager:.............................
E-Mail:..................................................................

Emergency Contact Names and Numbers:...........................................

Health Insurance Policy and Number:...............................................

Any known allergies?........................


PARENT CONSENT AND AGREEMENT

Please read carefully and sign:

I agree to place my child(ren) in the Metropolitan Theatre After-School Enrichment program to held at our partner in Education schools.

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 MTC.
I also agree to the late fee pick-up policy. The first 5 minutes are free every minute thereafter is $1.00 per minute. I understand that if I am continously late in picking up my child, my child may be dismissed from the program.

In placing my child(ren) in this program, I fully understand and agree to hold The Metropolitan Conservatory, and its instructors and administrators, and the partner in Education Schools 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:................................................................................................Date:...........................

PLEASE MAKE CHECK PAYABLE TO Metropolitan Theatre Conservatory, Inc.

and MAIL TO:

METROPOLITAN THEATRE CONSERVATORY
P.O. Box 889082
Atlanta, GA 30356

Questions? Please call 770.394.1461

EDUCATING, EMPOWERING, PERFORMING
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After-School Enrichment