Little Blossoms "LB"

 Ages 4.5 to 8:  This class for the younger child will concentrate on FUN imagination games, creative thinking and role play.  A great 8 week program to whet your child's appetite for the performing arts. 

This class will take place on Tuesdays from 4:30 to 5:30 and will cost $50 for 2 months or $30 per month.  We will not have a final performance for this age group but will focus on the process of creative drama games.  Class dates are February 7 - March 13.

Instructor: Paulette Kennedy

Tell your friends about these classes, have them write your name on their registration form and you will receive 2 free tickets.

Please call Artistic Director Donna Chalmers for more information:  This e-mail address is being protected from spambots. You need JavaScript enabled to view it. , 678-570-3481

Little Blossoms Registration

Name: ________________________________     Age: _____        

Name: ____________________________________ Age: _____        

Parents’ Names:____________________________________________

Address: ______________________________­­­­­­­_____ 

City: ___________________

Zip: _________

Home Phone: __________________________

Cell:  ___________________________

Emails: ___________________           _________________________________

Please send in entire first month’s tuition with this form.  Mail completed form to: Fifth Row Center, 5509 Main Street Flowery Branch, GA 30542

Make checks payable to: Fifth Row Center

You may also use paypal online at FifthRowCenter.com or our credit card machine soon!

Little Blossoms will begin on TBD.

 Fifth Row Center is a 501(c)3 and is recognized by the IRS and the State of Georgia as a 501 c 3 non-profit organization. All donations including registrations, ads & prizes are tax-deductible.  Thank you for your support of community performing arts!

 INDICATE how PAYING:

 ______    $50 check      $50 Paypal      $50 credit card   $50 cash

  TOTAL:  $______________________     CHECK NUMBER:  __________________

 If you have any questions, email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it. This e-mail address is being protected from spambots. You need JavaScript enabled to view it. or call 678-357-7359 or 678-570-3481

THIS FORM IS NOT COMPLETE UNTIL ATTACHED LIABILITY RELEASE FORM IS SIGNED AND INCLUDED

THE IMPORTANT STUFF:

Tuition is due at the first class of every month.  NO EXCEPTIONS!

1.  NO SANDALS or flip flops or crocs!  NO DRESSES OR SKIRTS.

2.  Please send water bottle with your child’s name on it. THEY MAY ALSO PURCHASE WATERS FOR $1 AT THE STUDIO.

3.  PARENTS MUST BE ON TIME FOR PICKING UP THEIR CHILDREN OR PAY A $5 FEE FOR EVERY 15 MINUTES.

Phone: 678-357-7359 or 678-570-3481

Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it. This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

We are very proud to have accomplished teachers who are experienced in their craft and work specifically teens or children. We truly care about our students and believe in teaching with an attitude of kindness. Each student is precious to us and deserves to be encouraged and nurtured in the gifts God has given them.  We strive to build an atmosphere of trust and mutual respect. If you have the training and experience necessary to join our staff, please email us!

RELEASE OF LIABILITY AND WAIVER OF RIGHTS:

PLEASE READ CAREFULLY BEFORE SIGNING.  THIS DOCUMENT HAS LEGAL SIGNIFICANCE

 As used in the Agreement, the term “Released Parties” means Fifth Row Center, Blossom Creek Young Actors Studio, Little Blossoms and any sponsoring business, employees, agents, representatives, officers, directors, etc. involved in this production, class or program.

I, ___________________________________________________________, am the parent or legal guardian of ___________________________________________ who is participating in Blossom Creek Young Actors Studio, Fifth Row Center classes, Little Blossoms or Summer Theater Camp (“Event.”) In consideration of this participation, I hereby agree as follows:

1.       I represent that I am at least 18 years of age and am otherwise competent to enter into the Agreement.

2.       I understand and acknowledge that there may be risks associated with my or my child’s participation in this Event.

3.       I expressly assume all risks associated with my or my child’s participation in the Event, including without limitation any and all risks of personal injury, including death, or property damage.

4.       I accept total responsibility for any and all medical expenses I incur arising out of my or my child’s participation in the Event.

5.       I hereby release, waive, and discharge Released Parties from any claim I might have for personal injury, including death, medical expenses, or property damage, arising from my or my child’s participation in the Event, including without limitation any claim that may result from the negligent acts or omissions of Released Parties.

I HAVE CAREFULLY READ THE FOREGOING, UNDERSTAND ITS CONTENTS AND ACCEPT ITS TERMS.  I HEREBY SIGN THIS DOCUMENT WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

X ________________________________________________________________________

Signature of parent or Legal Guardian

Print Name

Print Students’ Name(s)

 Date:    _________________

 Send to:  Fifth Row Center, 5509 Main St., Flowery Branch, GA  30542

Or email to:  This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

Or bring to Parents’ Meeting