Workshop Registration

Workshop Registration Form

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Parent/ Guardian Name (If Registrant is minor)

Registrant Name *

Age

Phone Number *

Email Address *

Emergency Contact Name *

Which Workshop are you registering for? *

Emergency Contact Phone Number

I authorize the registrant named above to register for the workshop selected with Everlasting Talent. I understand that EverLasting Talent is not liable or in any way responsible for lost, or stolen items or injuries. I give EverLasting Talent the right to capture the registrant in photographic portraits, pictures, digital images or videotapes. I release this event's media rights (pictures, videos, recordings) for marketing purposes to Everlasting Talent, Inc. I do understand that registration, and all applicable fees must be paid in full to confirm registration. I further understand that all fees are non-refundable. *