No application can be accepted without a signed registration and full registration fee. I, the undersigned, being the parent/legal guardian of the student I am registering, Declare that the information and medical details on this form are correct to the best of my knowledge and I hereby apply for a space at the Rock Ridge Drama Booster Summer (RRDB) Theatre Program indicated for my child or ward. I understand that RRDB, reserves the right to restrict admission at its own discretion.
REFUND POLICY: In the event of insufficient enrollment, a full refund will be given. No refunds are given for missed days or early withdrawal. Registration is a commitment to paying the entire fee. In the event the balance has been paid in full and the student/participant drops out prior to the start of camp, for any reason, the amount paid may be applied towards a future program. All fees including deposits are non-refundable. No exceptions. All withdraws (dropouts) must be made in writing at least 1 Week prior to the start of the program, in order for payments to be transferred to another program. No exceptions. Partial payments toward balance due are non-transferable and non-refundable. No exceptions. Only paid in full accounts are eligible to be applied to a new program, if the student drops out for any reason. Payments: In Full -$70 CANCELLATIONS made by RRDB due to weather or other emergency issues will be announced on our website as well as in emails sent directly to all families enrolled. In the event of a cancellation, a make-up class will be scheduled by the instructor/Director. No monetary refunds will be issued.
Participation and Medical Emergencies
I grant permission for my child or ward to participate in all activities, except as indicated in ‘Medical Information’, and I understand that Rock Ridge Drama Boosters (RRD Boosters) provides no health insurance or medical coverage and that the signing of this form acknowledges my responsibility for payment of any medical treatment which may be required while my child or ward is participating in the program. I further grant permission for RRD Boosters or its representatives to procure any and all necessary medical help for my child or ward while they are under the supervision of the RRD Boosters and authorize RRD Boosters or its representative to permit any competent medical person to take all reasonable measures to treat any injury or sickness that my child may suffer.
The Rock Ridge Drama Booster Program is an independent, registered 501(c)3. RRDB holds its' own insurance policy and is not an entity of Loudoun County Public Schools, but rather independently supports the needs of Rock Ridge Performing Arts.
As a result, RRDB will not have access to any child's IEP or HCP per federal HIPPA and FERPA regulations. RRDB has been granted permission to use the facility by RRHS Administration. However, we welcome every child. Our education director is CPR/AED, Medication Trained and Diabetes trained. You may work with the education director to create a plan and environment where your child excels and succeeds!
Additionally, Please DO NOT contact Rock Ridge High School or LCPS for information regarding this program. For questions, please use email@example.com.
I will be on time for drop-off and pick-up of my student from rehearsal spaces and classes. I understand that if I am not on time, RRD Boosters charges for care at a rate of $15 every 15 minutes. I understand that this is due to the busy schedules of the RRPA Boosters staff, and space, and I accept these terms.
By signing this form, I hereby state that I release all the members of RRD Boosters, staff, Board, and any other party involved in the organization and administration of RRD Boosters from any liability as a result of any injury sustained or the unlikely event of death in or around a RRD Booster venue.
Photo and Video Release
I grant permission for any and all photographs or videos taken at RRD Boosters to be used by RRD Boosters in displays or for advertising in, but not limited to, newspapers, magazines, newsletters, and brochures. I understand that no personal information will be associated with any photographs or videos without my prior written consent and that no compensation is offered.
Per federal HIPPA and FERPA laws, I understand that all information supplied on this form will be kept strictly confidential and that RRD Boosters will never divulge any personal information to a third party without my written consent.
Please do not contact the Rock Ridge High School Administration or any member of LCPS for information regarding the RRDB Summer Program. This program is independent of LCPS.