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? *

Online Dungeons & Dragons ($30.00)

Private Event / Birthday Guest (In-person or Online)

Updating Waiver for The Story School Programming

Birthday Party or Private Event *

Birthday Party

Private Event

Event Host's First and Last Name *

Birthday Child's First and Last Name

Name of the Private Event

Is this a virtual or in-person event? *

Virtual

In-person

Date of the Birthday / Private Event * 🛈 +

Time of Event *

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***New Recurring Payment Options for D&D Events***

Due to popular demand, we are hosting a new option for our heroes who want to sign up for our D&D 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 Sun D&D;) 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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Today's Date * +

Which D&D Events Are You Purchasing?

	Adult D&D on Sundays (6:30pm-8:30pm)
	Beginner D&D on Tuesdays (5:00pm - 7:00pm)
	Intermediate D&D on Tuesdays (6:00pm - 8:00pm)
	Intermediate D&D on Thursdays (6:00pm - 8:00pm)

Is this your first D&D Session with The Story School? *

Yes

How did you hear about The Story School? *

Pick a Date for your Introduction to D&D:

Please note, this must be at least 1 week from today's date * +

List the Date(s) of the D&D Session(s) you are purchasing *

Notes or Clarification on Your Event

Have you already paid for this event? *

Yes, I have already paid to attend this event/I have a credit

No, I still need to pay to attend this event.

Do You Have a Scholarship or Special Event Discount (form will be reviewed before processed) *

Yes

Enter Coupon Code Here:
Form will be reviewed for accuracy

Is this a virtual (online) or in-person (offline) event? *

Virtual (online)

In-person (offline)

Have you submitted a waiver for The Story School Online Programs? *

Yes

Have you submitted a waiver for The Story School In-Person Programs? *

Yes

Scholarship / Discounted Event Payment Information

(will be reviewed before processed)

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

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 *

Contact Information

Legal Guardian (or yourself if over 18) Completing Form:

E-mail Address *

Phone Number *

Do you need to update any contact information since your last event (address, emergency contact, etc.) *

Street Address *

Address Line 2

City *

State/Region *

Zip/Postal Code *

	Emergency Contact Information
Name:	Emergency Contact Information
Relationship:	Emergency Contact Information
Phone Number:	Emergency Contact Information

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 *

Yes

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. *

I agree

Email address for event link to be sent? *

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? *

Yes

If yes, you/legal guardian must contact us immediately at (781) 214-1174 to discuss these behavioral concerns. Failure to have this discussion prior to the event may result in the above named not being allowed to participate in the event.
If no, please write 'none' in this field.
*

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? *

Participant has no issues with understanding or speaking English

Participant needs help understanding or speaking English

Participant is unable to understand 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. *

I understand

📖 The Story School, Inc 📖

📖 129 Pleasant Street Lunenburg, MA 01462 📖

📖 781-214-1174 thestoryschool.org 📖