The Story School, Inc.
Notice of Risk and Media Agreement
Event Registration Form

This Risk and Media Agreement is used for those attending our In-person and Online Events.  You MUST be 18 years or older to sign/submit this form. Attendees under the age of 18 must have their parent or legal guardian sign/submit this form.

FOR IN-PERSON EVENTS: Our in-person events (unless stated otherwise) are hosted at our new facility "The Academy of Creative Arts" at 12 A Street in Burlington, MA
                                   

FOR BIRTHDAYS: If you are attending a Birthday Party, under the Birthday Party Host Name or Event Type, please input the first and last name of your host's name (i.e. the birthday boy or girl's name).

FOR ONLINE DIGITAL ADVENTURES: Your child must have a computer (preferably laptop) with working camera, microphone, speaker, and compatible with Zoom to participate in this event/party

All Fields Are Required To Complete Form

The Story School Activity Information

What type of event are you attending? *
Are you a current and active member in Story School Classes? *
Birthday Party or Private Event *
Is this a virtual or in-person event? *
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***New Recurring Payment Options for D&D and Blackwatch Events***
 
Due to popular demand, we are hosting a new option for our heroes who want to sign up for our D&D and Blackwatch events but don't want to worry about filling out a form every month. Head over to our brand new Story School Recurring Event Registration Form. We will keep your card on file and register you for the events you choose (Tue, Thu, or Fri D&D; or Blackwatch) every month on the first of the month and you won't have to worry about filling out a form each time. Please note that if you take this option, we will need 30 days notice in order to cancel your event "subscription" if you choose to cancel your subscription.
 
Thank you for all your feedback!
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Which D&D Session(s) are you signing up for? *
Is this your first D&D Session with The Story School? *
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School Break Weeks: Spring/April

Which Week(s) of School Break? *
 Winter Break Week: February 21st - 25th 
Select Your Programming Option for Winter Break
Chose either full day in-person, full day online, or half-day online *
Winter Break: Full Day (9am - 3pm) *
Winter Break: Full Day (9am - 3pm) with Sibling Discount *
Winter Break: ONLINE Full Day (9am - 3pm) *
Winter Break: ONLINE Full Day (9am - 3pm) with Sibling Discount *
Winter Break: ONLINE Morning (9am - 12pm) *
Winter Break: ONLINE Morning (9am - 12pm) with Sibling Discount *
Winter Break: ONLINE Afternoon (12pm - 3pm) *
Winter Break: ONLINE Afternoon (12pm - 3pm) with sibling discount *
 Spring Break Week: 19th - 23rd 
Select Your Programming Option for Spring Break
Chose either full day in-person, full day online, or half-day online *
Spring Break: Full Day (9am - 3pm) *
Spring Break: Full Day (9am - 3pm) with Sibling Discount *
Spring Break: ONLINE Full Day (9am - 3pm) *
Spring Break: ONLINE Full Day (9am - 3pm) with Sibling Discount *
Spring Break: ONLINE Morning (9am - 12pm) *
Spring Break: ONLINE Morning (9am - 12pm) with Sibling Discount *
Spring Break: ONLINE Afternoon (12pm - 3pm) *
Spring Break: ONLINE Afternoon (12pm - 3pm) with sibling discount *
 Winter and Spring Break Package: Feb 21st - 25th & April 18th - 22nd 
Package is only for the full week AND full day in-person or virtual weeks
Package is only available before January 1st, 2021
Select Your Programming for Both Weeks:
Chose either In-person or Virtual  *
Select Your Programming for Both Weeks for siblings:
Chose either In-person or Virtual  *

Single Day School Break Adventures

Which School Break Are You Purchasing? *
--------------------- Indigenous Peoples Day: October 11th ---------------------
Indigenous People's Day: In-Person or Virtual? *
In-Person: October 11th School Break Adventure Offering *
Registering Siblings? *
In-Person Sibling Discount: October 11th School Break Adventure Offering *
Virtual: October 11th School Break Adventure Offering *
Registering Siblings? *
Virtual: October 11th School Break Adventure Offering *
--------------------- Vetarans Day: November 11th ---------------------
Veteran's Day: In-Person or Virtual *
In-Person November 11th School Break Adventure Offering *
Registering Siblings? *
In-Person Sibling November 11th School Break Adventure Offering *
Virtual November 11th School Break Adventure Offering *
Registering Siblings? *
Virtual Sibling November 11th School Break Adventure Offering *
--------------------- Black Friday: November 26th ---------------------
Black Friday: In-person or Virtual? *
In-Person: November 26th School Break Adventure Offering *
Registering In-person Siblings? *
In-Person Sibling: November 26th School Break Adventure Offering *
Virtual: November 26th School Break Adventure Offering *
Registering Virtual Siblings? *
Virtual Sibling: November 26th School Break Adventure Offering *
--------------------- D&D Virtual Full Day: December 28th ---------------------
December 28th School Break Adventure Offering *
Discount for Full Day Dungeons and Dragons Event:
You qualify for a $10 off coupon if you have purchased either:
a whole month of D&D events
a single day adventure (in-person or virtual)
Confirm here if you have made a qualifying purchase for # of participants entered above *
--------------------- MLK Day: January 17th ---------------------
MLK Day: In-Person or Virtual? *
In-Person: January 17th School Break Adventure Offering *
Registering In-person Siblings? *
In-Person Sibling: January 17th School Break Adventure Offering *
Virtual January 17th School Break Adventure Offering *
Registering Virtual Siblings? *
Virtual January 17th School Break Adventure Offering *
--------- 2 Day 2021 Package: Indigenous Peoples day and Veterans Day  ---------
2 Day Package - Indigenous Peoples: In-Person or Virtual? *
# of Registrants for 2 Day Package of In-person Indigenous Peoples Day
Virtual Veterans Day School Break Adventure Offering *
2 Day Package - Veterans: In-Person or Virtual? *
# of Registrants for 2 Day Package of Veterans' Day
Virtual Indigenous Peoples Day School Break Adventure Offering *
------- 2 Day LARP Package: Indigenous Peoples Day and Black Friday Day  -------
Multi-Day Package - Indigenous Peoples: In-Person or Virtual? *
# of Registrants for In-person Indigenous Peoples' Day
Virtual Indigenous Peoples Day School Break Adventure Offering *
Multi-Day Package - Black Friday: In-Person or Virtual? *
# of Registrants for In-person Black Friday
Virtual Black Friday Day School Break Adventure Offering *
--------- 2 Day LARP Package: Veterans day and Black Friday Day  ---------
Multi-Day Package Veterans: In-Person or Virtual? *
Registering In-person Siblings? *
Registering Virtual Siblings? *
# of Sibling Registrants for In-person Veterans' Day
1st Child: Virtual Veterans Day Break Adventure Offering *
Virtual Veterans Day Break Adventure Offering *
Multi-Day Package Black Friday: In-Person or Virtual? *
Registering In-person Siblings? *
Registering Virtual Siblings? *
# of Sibling Registrants for In-person Black Friday
1st Child: Virtual Black Friday Break Adventure Offering *
Sibling: Virtual Black Friday Break Adventure Offering *
---- 3 Day LARP Package: Indigenous Peoples, Veterans day, and Black Friday ----
3 Day Package - Indigenous Peoples: In-Person or Virtual? *
# of Registrants Indigenous Peoples: In-Person
Virtual Indigenous Peoples Day Break Adventure Offering *
3 Day Package - Veterans: In-Person or Virtual? *
# of Registrants for Veterans' Day In-Person
Virtual Veterans Day Break Adventure Offering *
3 Day Package - Black Friday: In-Person or Virtual? *
# of Registrants for In-person Black Friday
Virtual Black Friday Day Break Adventure Offering *
4 Day LARP Package: Indigenous Peoples, Veterans, Black Friday, and MLK Day
4 Day Package - Indigenous Peoples: In-Person or Virtual? *
# of Registrants for In-person Indigenous Peoples' Day
Virtual Indigenous Peoples Day School Break Adventure Offering *
4 Day Package - Veterans: In-Person or Virtual? *
# of Registrants for In-person Veterans' Day
Virtual Veterans Day School Break Adventure Offering *
4 Day Package - Black Friday: In-Person or Virtual? *
# of Registrants for In-person Black Friday
Virtual Black Friday School Break Adventure Offering *
4 Day Package - MLK Day: In-Person or Virtual? *
# of Registrants for In-person MLK Day
Virtual MLK Day School Break Adventure Offering *
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Have you already paid for this event? *
Do You Have a Scholarship or Special Event Discount (form will be reviewed before processed) *
Is this a virtual (online) or in-person (offline) event? *
Have you submitted a waiver for The Story School Online Programs? *
Have you submitted a waiver for The Story School In-Person Programs? *
Scholarship / Discounted Event Payment Information
(will be reviewed before processed)

Participants Attending:

List the Full Name and Age of each participant attending above that you are responsbile for
Use the enter or + button after each one is completed
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Contact Information

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 Emergency Contact Information
Name:
Relationship:
Phone Number:
The Story School offers a variety of classes, events, and camps in foam sword, NERF, or foil fencing. Check below to let us know if you are interested in learning more about our weekly classes, monthly events, or school break and summer camps *

Accommodations / Important Information

All Fields Are Required To Complete Form

Physical and Behavioral Accommodations

Participation in our online events require a computer or tablet with audio and video capability, and WiFi connectivity to the internet. You will be sent a link/invitation to this event after this waiver is complete at the email immediately below. You need only click the link shortly before the party is scheduled to begin. We recommend that you connect to the event about 10 minutes prior to the scheduled start time to allow for any technical issues that may arise. I acknowledge that I understand that connectivity issues are the responsibility of the guest and that Story School will not make any refunds due to the failure of your technology. *
Do any of the above named participant require special accommodations or demonstrate any behaviors that could require adjustments to physical activities? IE: Are they easily frightened by masks?  Do they get upset easily if rules are broken?  Do they get over-stimulated in physical activities?  Have they hit things in anger? Do they have coping strategies for stress? Do they have any physical limitations? Do they suffer from epilepsy or any other condition that could make dark and mood lighting an issue? *

Communication Needs

All of our programs are presented in English, though we work hard to make our presentations very physical to allow for context clues. For the sake of making our events as streamlined as possible please answer the following question honestly, do any of the above participants have any issues understanding or speaking English? *

Dress Code

All participants must wear clothing that is covering, comfortable, and safe for them to stand and move around while in their own space. *
The Story School, Inc    📖    12 A Street    📖    Burlington, MA 01803    📖    781-214-1174    📖    thestoryschool.org