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Student's Full Name*

Age*

If under 18, parent's name

Address*

City*

Zip*

Home Phone*

Cell Phone

Email*

Weekly Availability

.

Do you have any singing experience? Yes or No

If yes please state: Solo, Group-Band, Ensemble

Do you have any public performance experience? Yes or No

What genre do you wish to study?

I first heard about the program from:

School Name

Organization Name

Comments and Questions

Contact

Phone Number

**

Please note:

Your registration and tuition payment will ensure your spot in the class available for your age group once received and cleared by Bay Area Diva Productions.

IMPORTANT - LIABILITY WAIVER AGREEMENT


I have read and fully understand the policies and procedures and information provided by Bay Area Diva Productions and I hereby warrant that

I am of full age and have the right to contract in my own name and I have the full capacity, power, and authority to comply with its provisions. I hereby indemnify and hold harmless Bay Area Diva Productions and its owners, agent and employees against any and all liability for any and all injuries to my child or myself arising from or related to any activities conducted by Bay Area Diva Productions.


PARENTAL CONSENT: (to be completed and signed by parent/guardian if applicant is under 18 years of age.) I hereby consent that my son/daughter, participate in the above activity, and I hereby execute the above Agreement, Waiver, and Release on his/her behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss liability, damage, cost, or expense, which they may incur as a result of the death or any injury or property damage, that said minor may sustain while participating in said activity. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN BAY AREA DIVA PRODUCTIONS AND MYSELF AND I SIGN IT OF MY FREE WILL.


The parent/legal guardian whose name appears on this Registration Form hereby agrees to permit Bay Area Diva Productions to administer first aid and/or obtain medical treatment for the child who is on the Registration Form in the event of any injury to the child. The parent/legal guardian whose name appears on the Registration Form hereby agrees to pay all expenses incurred for such first aid and/or medical treatment and to indemnify Bay Area Diva Productions and hold Bay Area Diva Productions harmless against any liability arising from or related to such first aid and/or medical treatment.


By completing this release, I hereby waive any right to privacy and unconditionally give my permission to allow my name, likeness or photograph to appear in any Bay Area Diva Productions promotional literature which may include, but would not be limited to brochures, flyers, press releases, newspapers, audio or videotape footage of classes, television or any other electronic media and give consent to publish such photos, audio

and video footage royalty-free in its print, audio and electronic promotions including the company's website. All photos and videos will remain the property of Bay Area Diva Productions.

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