Creative Sparks – Gift Certificate – Registration

Registration Form

    Please complete the registration form and waiver below and click on SUBMIT. Don't forget to include the Gift Certificate Code that you received!

    PARTICIPANT

    Please register me in the following program:

    EMERGENCY CONTACT

    WAIVERS

    CREATIVE SPARKS CREATIVE AGREEMENT

    In order to create a safe and collaborative space for all participants, we have created the following agreement regarding participation and creation:

    • All voices are important and should be heard.

    • Respect everyone’s experiences/opinions without passing judgment.

    • Laugh and have fun! But… Do not laugh ‘at’ others’ questions or ideas.

    • Be on time. Be committed, Be present.

    • Commit to staying on task – gage how much you dominate the discussion/creation.

    • Provide gentle encouragement to those who may want to contribute, but may be too shy to participate.

    • Be respectful both in person and on social media.

    By signing below I acknowledge that I have read, understand and agree to the Creative Sparks Creative Agreement.

    MEDIA RELEASE FORM

    I, the individual pictured/filmed/videoed, do hereby grant permission to Kick Start Arts Society, their Artistic Directors and assigns to use and reproduce any media, video footage, writing, audio recording, or photographs taken/used/created during the process of participating in the writing/acting classes which are part of Creative Sparks, for use on television, in festivals, and shows, in workshops, or in print, on the internet, or any other format, in any manner suitable to promote and air this project, or others created in the future. Where appropriate, Kick Start Arts Society will acknowledge participants fully for their role.

    By signing below I acknowledge, understand and agree to the Creative Sparks Media Release Form.

    INJURY RISK DISCLAIMER

    I realize that participation in drama/acting classes and activities could result in some possible personal injury. Despite precautions being taken by Kick Start Arts Society and our instructors, accidents and injuries may occur. By signing this release form, I assume all risks related to the use of any and all spaces used by Kick Start Arts Society. I agree to release from responsibility Kick Start Arts Society, our instructors, our Artistic Directors, guests, Board, and any other artist-educators involved from any cause of action, claims, or demands now and in the future. I will not hold Kick Start Arts Society, liable for any personal injury including: scrapes, bruises, cuts, sprains, fractures, broken bones, concussions, death or other injuries, or any personal property damage/loss, which may occur on the premises before, during or after classes.

    I agree to obey the project and facility rules and take full responsibility for my behavior in addition to any damage I may cause to the facilities utilized by Kick Start Arts Society.

    In the event that I should observe any unsafe conduct or conditions before, during or after my classes, I agree to report the unsafe conduct or conditions to our Instructor, and the Artistic Director, as soon as possible.

    By signing below I acknowledge that I have read, understand and agree to the Creative Sparks Injury Risk Disclaimer.

    PLEASE ACKNOWLEDGE

    We kindly ask that if you are sick you look after yourself and others by staying home, or if appropriate wearing a mask, until you have recovered.

    By signing below I acknowledge that I will not attend programming if I am sick.