Registration Form

Welcome! Please fill in your details in the form below and you will be automatically registered for the program you specify. Event registration must be completed by the registration deadline and payment made before the commencement of the program. For more info email lauren@ptarmiganarts.org.

 

Please complete the form below

Name *
Name
Name of Parent/Guardian (if participant is under 18)
Name of Parent/Guardian (if participant is under 18)
Phone Number
Phone Number
Payment Method (please select one) *
Photo Release *
I authorize Ptarmigan Society to take and possibly publish photos/videos of me/my child(ren) pertaining the the above identified program. In the course of conducting our programs, the Ptarmigan Music and Theatre Society uses photographic equipment to record our activities, events and performances. Periodically, photos or videos will be taken of participants in various program activities, some of which may be used on the Ptarmigan web or social media sites or in print materials as part of our promotional and fundraising efforts. Please note that participants will not be identified by name in any of our promotional material or on our website.
Waiver *