ONLINE REGISTRATION AND TUITION PAYMENT FOR SHREK THE MUSICAL

Please be sure to fill in all mandatory fields, which are marked with an "*"; otherwise you will receive an error message.

Participant Name 1 *
Participant Name 1
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Participant Name 2
Participant Name 2
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Participant Name 3
Participant Name 3
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Participant Name 4
Participant Name 4
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Primary Parent/Guardian Responsible For Pick-Up After Rehearsal *
Primary Parent/Guardian Responsible For Pick-Up After Rehearsal
Primary Contact Mobile Phone *
Primary Contact Mobile Phone
Please list phone number we can reach you at during rehearsals
Secondary Parent/Guardian Name
Secondary Parent/Guardian Name
Please complete if secondary parent/guardian will be involved with drop off/pick-up during rehearsals.
Secondary Contact Mobile Phone
Secondary Contact Mobile Phone
Please list phone number we can reach you at during rehearsals
Emergency Contact 1 *
Emergency Contact 1
Please list name of person we can easily reach in the event of an emergency when the primary and secondary contacts cannot be reached.
Emergency Contact 1 Mobile Phone *
Emergency Contact 1 Mobile Phone
Emergency Contact 2
Emergency Contact 2
Please list name of person that can easily be reached in the event of an emergency when none of the other contacts can be reached.
Emergency Contact 2 Mobile Phone
Emergency Contact 2 Mobile Phone
Please list any known allergies and any special instructions (e.g no peanuts allowed, carries Epi-Pen, etc.). If registering multiple participants, please indicate name of person(s) with allergies.
Non-Discrimination Policy *
The South Bay Conservatory is a non-profit organization. The school does not discriminate on the basis of race, color, nationality, sex, ethnic origin or religious belief in its admission, retention, student aid, scholarships or other policies.
Liability Policy *
I, and/or my participating family members have no physical impairment that would be affected by our participation in this production. I agree to allow the individual(s) I have registered to participate in this production and I further agree to indemnify and hold the South Bay Conservatory harmless from and against any and all liability for any injury which may be suffered by the registered participants arising out of or in anyway connected with participation in this production.
Payment and Refund Policy *
Payment for tuition is due in full by the first rehearsal. Installment payments may be made by special arrangement - contact Linda Dryer at southbayconservatory@gmail.com. Payments made to SBC are non-refundable and non-transferrable. Any exceptions require SBC Executive Board approval.
Publicity Policy *
I grant full permission to the South Bay Conservatory to use my/my child's name and any photographs, videos, motion pictures or recordings for any publicity and promotion without obligation or liability to me.
Unforeseen Circumstances *
The South Bay Conservatory reserves the right to cancel the program or change show dates due to unforeseen circumstances including but not limited to; insufficient enrollment, theater unavailability, unannounced events or construction.
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Date *
Date

Tuition Payment

Tuition payment includes costume fee of $75. All other costs associated with this production are optional, such as: souvenir t-shirts, program ads, DVDs of the performance, donation of concession items, etc.

Online Payment Option
Click one of the links below to pay tuition online; the link will take you to a secured site.

Adult or Single Child: $595
Two Children: $595 + $495 = $1,090
Three Children: $595 + $495 + $395 = $1,485
One Child and One Parent: $595 + $295 = $890
Two Children and One Parent: $595 + $495 + $295 = $1,385

Payment by Check or Cash
If you prefer, you may pay by check or cash at the first scheduled rehearsal (make check payable to South Bay Conservatory).