Clocktower Players Registration Form

Please carefully review all policies before completing form. CLICK HERE for POLICIES. There are absolutely no refunds or credits given. Students may not participate in class without full payment, a completed registration and health history form. In order to ensure that your 2023-24 registration is accepted, payment must be received by the dates listed on the POLICIES link.

Student's First Name Student's Last Name Grade Student's Email Address Parent/Guardian First Name Parent/Guardian Last Name Parent/Guardian Email Address

Billing Address

Street Address Address Line 2 City State Zip Code Home Phone Number Work Phone Number Mobile Phone Number

Emergency Contact Info

First Name Last Name Phone Number Doctor's First Name Doctor's Last Name Doctor's Phone Number

TROUPE SELECTION

NOTE: When making your Troupe Selection, if the drop down box doesn't lower, try clicking the drop down box and pressing the "down" arrow key on your keyboard to make your selection.

Registration Fee is $30 per student
Performance Troupes include a $50 production fee per student

ACTING ADVENTURES (Ages 3-5)

ACTING ADVENTURES

KIDS TROUPE (Grades 1-3)

KIDS TROUPE KIDS TROUPE DAY SELECTION

JR TEEN TROUPE (Grades 4-7)

JR TEEN TROUPE

TEEN TROUPE (Grades 7-12)

TEEN TROUPE

CAMP SUMMER STAGE 2024

CAMP SUMMER STAGE REFERRED BY

AGREEMENT

I HAVE READ & UNDERSTAND CLOCKTOWER PLAYERS POLICIES I HAVE COMPLETED THE STUDENT HEALTH HISTORY FORM I waive any liability against Clocktower Players Inc. (CTP) and its employees for personal injury, illness or loss of property while participating in classes/performances for CTP. I authorize CTP and/or its representatives to use photographs and/or videos of above student(s), taken in conjunction with CTP classes and events, in its advertising, public relations and/or promotion

PAYMENT METHOD PayPal/Credit Card