FALL 2017 REGISTRATION FORM - LAKE COUNTRY PLAYHOUSE PERFORMING ARTS ACADEMY

Child's Gender *
MM/DD/YYYY
If your child has any medical conditions or food allergies we should be aware of, please disclose them here. All personal information will be kept confidential.
Class Information *
Check ALL classes for which you would like to register your child. Classes have limited capacity. Early registration is strongly encouraged. Fall session runs from September 11-November 17 unless otherwise noted. When registering for more than one class the following discounts apply: $20 off 2 classes, $30 off 3 classes. These offers may not be combined with EARLY BIRD DISCOUNT. Returning students may also receive $10 credit for each new student they refer, up to $30, to be used toward tuition the following semester.
Please list any dates your student has conflicts with and describe below. All conflicts must be submitted and approved by the first class or rehearsal.
T-shirts
T-shirts may be purchased for $15 for Students and Family members. Please select the size(s) you need. The cost of shirts will be added to tuition and may be paid for upon pickup.
Sizing: Youth XS (4-5), Youth S (6-8), Youth M (10-12), Youth L (14-16), Youth XL (16+), Adult S, Adult M, Adult L, Adult XL, Adult 2X
How did you hear about us? If you were referred to this class by a friend, make sure to tell us the friend's name so they can get credit!
By signing this form electronically, I hold Lake Country Players and its representatives, from and against all claims, damages, and other liabilities relating to personal injury, illness or property damage, which relate in any way to my child's participation in LCP. I have read, understand, and will uphold the acting class guidelines and policies as described in the Education Handbook below.