Go Pro Registration Form

REGISTRATION REMAINS OPEN UNTIL PROGRAM SELLS OUT!

Program has filled to capacity each and every year since it’s inception more than a decade ago. Early registration is strongly recommended.

2024 TOP GO PRO REGISTRATION FORM

Dancer Status *

Use drop-down arrow at right to indicate Alumni or First Time Participant

If Alumni, include below the number of times dancer has attended Go Pro.

Dancer FIRST Name *

Dancer LAST Name *

Dancer Cell Phone Number (NOT parent/guardian cell #) *

So staff can contact dancer during camp as needed

Dancer Email Address (NOT parent/guardian email) *

Again, needed as an alternate point of contact for dancer during camp

Competition Level *

Use drop down arrow to select which level dancer competes at during a competition event.

Dancer T-Shirt Size (female sizing runs slightly small) *

This is for the Go Pro shirt that is included in the price of the workshop. Use drop-down arrow at right to choose

OPTIONAL Kidz Roc T-Shirt(s) Pre-Order

Indicate below if you would like to receive one or more of the 2024 Kidz Roc T-Shirts. If Yes, indicate sizes and quantities in the field below this one. An additional $28 will be added to your invoice for each Kidz Roc shirt you order. Kidz Roc shirts are Pre-Order only and will NOT be for sale at the show. Order deadline is May 31, 2024. Pre-ordered shirt(s) will be included with materials the dancer will receive at check-in.

OPTIONAL Kidz Roc T-Shirt Sizes and Quantities

Complete only if "Yes" is checked in prior field.

Dancer Gender *

Necessary for making room assignments. Use drop-down arrow at right to indicate Female or Male.

Dancer Birthdate *

Dancer Age (as of event) *

Dancer Primary Residence Is Located In Which State? *

Will Dancer Need Transportation One Way, or Round-Trip, to/from Camp? *

Use drop-down arrow at right to choose. Note additional fees with each option. Travel to camp venue from Springfield/Branson airport is an approximate 1 hour trip (55 miles).

Will Dancer Drive Her/Himself to Camp? *

Use drop-down arrow at right to indicate Yes or No. If Yes, vehicle keys must be turned in at registration and dancer will NOT have access to vehicle until camp concludes. Vehicle information also required (see next item).

Vehicle Information

If YES to above question, please provide the following vehicle information: Make, Model and Color (required by camp venue).

Studio Dancer Attends *

Studio Director\'s Name *

Will Dancer Be Part of a TOP-Invited Kidz Roc Act? *

Use the drop-down arrow at right to choose "No", "Yes", or "Not Sure Yet"

If "YES" To Above Kidz Roc Question:

List song title of Kidz Roc act below. Leave blank if you answered "No" or "Not Sure Yet" to above Kidz Roc question.

Parent/Guardian Name (first and last) *

Parent/Guardian Cell Phone Number (with area code) *

Parent/Guardian Email Address *

Emergency Contact Name (other than parent/guardian listed above) *

Include both first and last name

Emergency Contact Phone Number (with area code) *

Emergency Contact Email Address *

List Any Dancer Allergies *

If no allergies, enter NONE

List All Dancer Medications *

Include both prescribed and OTC (over-the-counter) medications that may be in the Dancer's possession during camp. If no medications, enter NONE.

ALL DANCERS MUST HAVE AN ACTIVE HEALTH INSURANCE POLICY IN EFFECT DURING THE DURATION OF THE CAMP -- NO EXCEPTIONS

Policy Holder's Name (first and last) *

Policy Issuer (name of insurance company) *

Policy Number *

Upload Picture of Insurance Card FRONT *

Upload Picture of Insurance Card BACK *

SUBMISSION OF THIS FORM CONSTITUTES APPROVAL OF THE FOLLOWING:

I understand that individual health insurance covering the dancer named above is a requirement to attend the program. I grant Talent On Parade, LLC and camp staff the right and authority to make emergency medical decisions in good faith, and in the best interest of my dancer for the program dates of July 22-29. I also agree to release and hereby indemnify Talent On Parade, LLC and their agents from any and all contracts, claims, suits, actions, liabilities and or injuries arising as a result of participation in this workshop, and/or as a result of medical/safety decisions made in the case of an emergency. I further release Talent On Parade, LLC and their agents from responsibility for any and all loss or damage, court costs and/or legal fees. By my electronic signature below I also affirm that I have read and understood all appropriate documents, rules and regulations as regards to this workshop. I also understand that payments for the program are expected as follows: 1) A $250 non-refundable deposit is due immediately following receipt of the PAYPAL invoice generated by this application; 2) Payments must be made so that invoice balance is $860 or less as of May 12, 2024; 3) Additional payments must then be made so that invoice balance is $300 or less as of June 2, 2024, and all payments (not just deposit) become non-refundable as of that date; 4) Additional payments must then be made so that invoice balance is $150 or less as of June 16, 2024; 5) Final payment deadline is on or before June 30, 2024; 6) All payments must be made via the PAYPAL invoices emailed from TOP. At any time you may share a PAYPAL email invoice link with others who wish to “donate” towards your dancer’s tuition. Failure to meet any payment deadline indicates express wish not to participate, and forfeiture of any and all payments made up to that point. I also understand that refunds will not be provided due to program cancellation/postponement as a result of any national emergency, acts of God, war, acts of terrorism, medical emergency, weather-related issues, force majeure, or other circumstance(s) in which TOP has no control. In lieu of refunds, credit in the amount of payments received will be held on a studio account instead. By my electronic signature below I also grant Talent On Parade, LLC and camp staff the right and authority to transport my dancer as necessary for any and all activities related to the 2024 TOP Go Program workshop during the dates of July 22-29, 2024. Finally, I understand my dancer’s participation can be terminated immediately at the sole discretion of any member of the TOP Go Pro Staff for violations related to, but not limited to, the following: consumption of alcohol, illicit drugs, smoking, vaping, or promiscuous activities. Upon such termination I agree to retrieve my dancer immediately, at my own expense, and without refund.

Electronic Signature *

Typing your name into this form, and then submitting this form to Talent on Parade, LLC. electronically is, for all intents and purposes, to be considered a valid and legally binding signature.

Date of Signature *

NEED HELP?

Please allow up to 3 minutes for submission process to complete after clicking the “submit” button below. Following successful submission you will automatically be forwarded to a confirmation screen. A confirmation email will also be sent as well. Contact the TOP office at (316) 522-4836 during normal business hours with any questions or for assistance in completing/submitting this form, or email office@talentonparade.com.