Be sure to click "submit" at the bottom. If you do not receive a confirmation, I did not receive the form.

I hereby give permission for images of my child, captured during Drama Club through video, photo and digital camera, to be used solely for the purposes of Little Actors’ Studio promotional material and publications, and waive any rights of compensation or ownership thereto.

I grant my authorization and consent for Amber and/or Alex Lopez (hereafter “Designated Adults”) to administer general first aid treatment for any minor injuries or illnesses experienced by my child. If the injury or illness is life threatening or in need of emergency treatment, I authorize the Designated Adults to summon professional emergency personnel to attend, transport, and treat the minor.  I agree to assume financial responsibility for all expenses of such care.

Exemplary attendance and behavior is expected of my child, and he/she may be removed if, in the sole discretion of Little Actors’ Studio, my child does not meet these standards.

Students with parents, guardians, or family members who are disruptive or do not maintain appropriate and positive working relationships with the staff of Little Actors’ Studio, may also be removed at the discretion of the director of Little Actors' Studio.

A 100% refund of participation fees will be given prior to the start of the school year. An 80% refund of participation fees will be given if the student decides not to continue the program before September 8, 2025. After that time, no refund will be given for the current semester. Payments for future semesters will be refunded in full.

Refunds of participation fees will not be granted at any time for students who are removed because of poor attendance or behavior.

Refunds of participation fees will not be granted for students who voluntarily leave the program because they are dissatisfied with the role they are given. These students will also not be admitted back into the program at a later date.

Absences will be excused if the student stayed home from school the day of practice due to illness. After three unexcused absences, it will be the sole decision of the director of Little Actors' Studio as to whether you will be kept on as a cast/crew member.

This program is not sponsored or run by Murdock Elementary, or the Cobb County School District. Little Actors’ Studio takes full responsibility for this program and all related activities. All questions or concerns regarding this program should be directed to Little Actors’ Studio and Amber or Alex Lopez.

I have read and understand the above statements.

BE SURE TO HIT SUBMIT. YOU WILL RECEIVE A CONFIRMATION PAGE. IF YOU DO NOT RECEIVE A CONFIRMATION PAGE, I DID NOT RECEIVE THE FORM.

*You may pay using a credit card through Stripe and using the check boxes below. Do not click a box unless you plan to pay with a credit card.

*You may pay via Venmo (@amber-lopez-mieres) and take advantage of the Teacher/Sibling discount.

• $165/semester

*You may also pay via cash or check and take advantage of the Teacher/Sibling discount.

• $165/semester

*You may make 8 monthly payments of $45/month. Contact Ms. Amber to make arrangements for monthly payments.

*You may pay via Zelle using 770-374-5851 and take advantage of the Teacher/Sibling discount.

• $165/semester