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Workshop Registration
Workshop Registration
admin
2018-06-07T23:01:18+00:00
Workshop Registration Form
If you are human, leave this field blank.
Parent/ Guardian Name (If Registrant is minor)
Registrant Name
*
Age
Phone Number
*
Email Address
*
Emergency Contact Name
*
Which Workshop are you registering for?
*
Dance Workshop "Hip-Hop FlashBack"
Dance Workshop "Liturgical Expression"
Music Workshop "Music Mania"
Modeling Workshop "Model Madness"
Dance Workshop "Liturgical Expression"
Acting Workshop
Photography/ Videography Workshop
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.
*
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