Adult Class Registration Use this form for registering all students for Theatre Classes. Please fill out this form AFTER you have made payment through our online ticketing system by clicking here. "*" indicates required fields Class*The Actor's StudioTap with Trek - Tap Dance WorkshopEquipment* I understand that it is my responsibility to bring my own tap shoes to this class.Have you paid for your course online through our website?* Yes No, I am paying towards a payment plan and will bring payment to our first class Your Name*Personal Pronounsi.e. She/Her, He/HimDate of Birth*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email Address*Please include your email addressAllergies/Medical ConditionsPlease list any medical conditions or allergies that we should know about. During COVID-19, we request that you also let us know about any condition that the student commonly experiences (e.g. runny nose due to allergies, tendency to get headaches etc.)Emergency Contact Name*Emergency Contact Relationship to You*Emergency Contact Phone Number*Publicity Waiver*Pictures or recordings may be made of classes, rehearsals or performances for archival and promotional purposes. These may be used in local media (Thunder Bay Television, The Chronicle Journal, etc.) or Magnus Theatre publicity (including our website and print advertising). Every student’s name will accompany their image whenever possible. There will be no monetary compensation for the use of any student’s image. The created media are the property of Magnus Theatre, or the agent making the recording. Yes No Terms & Conditions*Your application will be processed once the form is complete and payment in full has been received. The student's spot in the selected class is not guaranteed until we have received both this form and payment. The total cost includes a 25% administration fee. If the student should choose not to participate, the administration portion of the class fee is non-refundable. Within 2 weeks of the first day of the class, fees become 100% non-refundable. I have read and agreed with the above statement. I Agree Magnus TIE NewsletterFrom time to time, Magnus Theatre in Education sends out information about shows, promotions and special events. You are under no obligation to join our mailing list. Would you like to receive our newsletter? Yes No
