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Spring Break Camp

MOUNT PLEASANT

Spring Registration

You can register up to 3 children on this form at once. Looking for 1-on-1 voice, instrument, and/or acting lessons? Register here.

Parent & Emergency Contact Info

Parent First Name

Parent Email

Emergency Contact Full Name

Parent Last Name

Parent Phone

Emergency Contact Phone

Relationship To Student

Student Info & Enrollment Options

How many students are you registering?

Student 1: First Name

Student 1: Email

Student 1: Last Name

Student 1: Birthdate

Student 1: T-shirt Size

Student 1: Group Lessons/Classes

View schedule for Group Lessons/Classes

Student 1: Troupe

View schedule for Troupe

Student 1: After School

Student 2: First Name

Student 2: Email

Student 2: Last Name

Student 2: Birthdate

Student 2: T-shirt Size

Student 2: Group Lessons/Classes

View schedule for Group Lessons/Classes

Student 2: Troupe

View schedule for Troupe

Student 2: After School

Student 3: First Name

Student 3: Email

Student 3: Last Name

Student 3: Birthdate

Student 3: T-shirt Size

Student 3: Group Lessons/Classes

View schedule for Group Lessons/Classes

Student 3: Troupe

View schedule for Troupe

Student 3: After School

Please describe any medical/behavior history that would be necessary for us to know so we may serve your student(s) to the best of our ability.

Please describe any known food allergies your student(s) has.

Payment Information

Select credit/debit card type

Name as it appears on card

Card Number

Exp Month

Exp Year

CVV Number

Billing Address

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Terms & Conditions

I understand EMH/FAME PA are in no way responsible or liable for any injuries/accidents that occur on site

I understand EMH/FAME PA are not responsible for any lost or stolen items. Any items brought from home must be properly labeled with first and last name or initial.

I understand all studio policies and procedures including but not limited to hours of operation, lesson make-up policy, attendance, and payments/billing including refunds.View studio policies.

I understand EMH/FAME PS are not authorized to administer medicine (unless life altering medications such as Epi-Pens, anti-seizure medication, etc.) unless a current doctor’s note with the medication name, expiration date, dosage amount/time, and child’s name on the note and medication label. This includes over the counter medication such as Tylenol, Ibuprofen, and cough/cold medication.

I understand the Sick Policy states: if your child is experiencing any kind of symptoms, please keep them home 24 hours until symptoms reside without the aide of medication. If they are experiencing symptoms at FAME, parent/guardian or emergency contact will be notified to please come pick up immediately.

I understand the Allergy Policy states: if your child has allergies and needs medication (Epi-Pen or any other type of medication such as Benadryl), the same guidelines stated in our Medicine Policy must be followed. Allergies must be stated and the signs/symptoms (rash, difficulty breathing, etc.) with the allergy action plan (first give Benadryl at the sign of symptoms or immediately administer Epi-Pen, etc.) to follow the first sign of ingestion/contact or symptoms must be clearly stated in the doctor’s note.

I understand the Allergy Policy states: if your child has allergies and needs medication (Epi-Pen or any other type of medication such as Benadryl), the same guidelines stated in our Medicine Policy must be followed. Allergies must be stated and the signs/symptoms (rash, difficulty breathing, etc.) with the allergy action plan (first give Benadryl at the sign of symptoms or immediately administer Epi-Pen, etc.) to follow the first sign of ingestion/contact or symptoms must be clearly stated in the doctor’s note.

I understand my payment is non-refundable for any reason. Including and not limited to illness, moving away, change of plans.

For all group offerings (Group Lessons/Classes, After School, and Troupe): In the even I have to cancel, I understand I signed up for a semester class and my financial commitment lasts till the end of the semester. If paid in full the remainder of my fees will not be refunded.

I agree that FAME Performing Arts is allowed to use pictures and/or videos of me or my children, or other family member in social media posts or emails for marketing purposes only.

Yes

No

How did you hear about FAME?

Thanks for registering! We'll be in touch soon with more info.

By adding this card information, I authorize FAME to charge my card for the payment plan chosen.

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We are located next to Long Point Animal Hospital, across from Seacoast Church. Look for the FAME After School vans!
757 Long Point Rd, Ste. D
Mt. Pleasant, SC 29464

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