= Registration Please make sure to review Omnes Arts Circle’s Policies and Waiver prior to submitting registration. Omnes Arts Circle’s Policies Omnes Arts Circle’s Waiver Url Student's Name * Student's Date of Birth (dd-mm-yyyy) * Student's Age (upon registration) * Student's Phone Number * Text? * Yes No Student's Email * Primary Parent/Guardian Name * Secondary Parent/Guardian Name Primary Parent/Guardian Phone Number * Text? * Yes No Secondary Parent/Guardian Phone Number Text? Yes No Primary Parent/Guardian Email * Secondary Parent/Guardian Email Which email address(es) would you like added to our studio email list, to keep informed on studio events? (Please select all that apply) * Student's Email Primary Parent's Email Secondary Parent's Email Name for Invoices * Email for Invoices * Address for Invoices * Emergency Contact Name * Relation to Student * Emergency Contact Phone Number: * Text? * Yes No Emergency Contact Email * Student's Allergies/Alerts It can be very helpful for teachers and instructors to know of any behavioural, sensory, or learning disorders (i.e. ADHD, Anxiety Disorders, Autism Spectrum Disorder, Learning Disabilities, etc). All personal information is kept confidential at Omnes Arts Circle, and only shared with the relevant teachers and instructors. Registering For * The Music Circle The Dance Circle The Theatre Circle Summer Camp Payment Method * Cash (during studio hours) Cheque (made out to Omnes Arts Circle Inc.) E-transfer (sent to firstname.lastname@example.org) Media Release * I understand that the studio may take photographs or videos of the above named student to use for promotional materials or educational purposes, and may post them publicly (without the use of the student's name) to Omnes' social media platforms and/or website. *Permission may be revoked at any time by contacting Omnes Arts Circle directly and in writing. Experience * Please include all relevant experience here, pertaining to your registration. Dance students may include the highest level achieved for each class, if applicable. If the student has no previous experience, please type 'Beginner'. How did you hear about Omnes Arts Circle? * Additional Comments By clicking 'Submit', you are acknowledging that you have read and agree to the following (links to both are at the top of the page for easy access): Policies and Waiver * Omnes Arts Circle's Policies Waiver Omnes Arts Circle's Waiver Electronic Signature * I agree to Omnes Arts Circle's policies, waivers, and codes of conduct. I acknowledge that submission of this form acts as my electronic signature to all policies and waivers.