Additional items
Student's Information
Parent/Guardian Information
Physician Information
MEDIA RELEASE:
I understand that by completing this form Round House Theatre has my permission to use the image of participant as named on this form in publicity about Round House Theatre. If I do not wish Round House to use image of participant for publicity, I understand I must contact Education@RoundHouseTheatre.org to make this request.
MEDICAL WAIVER:
In the event of an emergency, I give my permission to Round House Theatre to secure and administer treatment, including hospitalization, for the participant as named on this form.
Round House cannot administer over-the-counter or prescription drugs to my child unless that medicine is sent in a properly labeled container provided by the pharmacy and accompanied by a medical authorization form.
Round House assumes no liability for injuries or damages arising from participation in any class or program. Due to the strenuous nature of some activities, the participant is encouraged to consult a physician concerning fitness to participate.
REFUND POLICY:
I understand a full refund will be made when a program is cancelled due to insufficient enrollment. A full refund, minus a $25 processing fee is available if the participant is withdrawn at least 30 days prior to the start date of the program. A 50% refund is available if withdrawing less than one month but more than two weeks prior to a program's start date. No refunds will be made within two weeks of program's scheduled start date and/or after a program has begun.
ADDITIONAL POLICIES
Rules and guidelines are intended for the safety and protection of all children and staff. Please review our Participant Code of Conduct with your student (in our information pack). If negative behavior persists, RHT will consult with parent/guardian. If a student is unable to correct behavior which is dangerous or disruptive to the program, suspension or dismissal from the program may occur.