Is the STUDENT a Lauderhill Resident? (Lauderhill residents must provide proof of address, age and income to qualify for discounted rate.)

Select relation to student.

Select relation to student.

If an accident/illness occurs, that requires emergency medical attention, your child will be transported to the nearest hospital. (Plantation General Hospital)

I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in case of an emergency.

I authorize my child’s participation in all ENCORE activities including, but not limited to, field trips, fundraising activities/events etc. I release ENCORE and individuals from liability in case of an accident during activities related to ENCORE, as long as normal safety procedures have been taken.

I understand that a Registration Fee is required for each student. Registration Fee: $50.00 per student (for Lauderhill Residents) and $125.00 per student (for Non-Lauderhill Residents.) A processing fee of $2.50 will be added to each online payment.

Encore is required to vacate the rehearsal facility in a timely manner. Failure to pick-up your child at the stated release time (3:00pm) will result in a late fee. You will be charged $5.00 per child, per 15 minutes past the stated release time. Late pick up fee is effective as of 3:16pm.

Students are entitled to: two snack break & one lunch break. Break times may vary and are given at the discretion of ENCORE staff. Additional breaks are given during extended rehearsal sessions. With parental consent, students, ages 12 and older, are allowed to go off-site for lunch. All students are required to bring lunch if they are not able to leave the facility. Students may not purchase food off-site if they are not allowed to leave the rehearsal facility. Please note: Students, ages 12 and older, are allowed to go off site (leave the rehearsal site) for break/lunch in groups of 3 or more, however ENCORE/City of Lauderhill is not responsible/liable for children once they leave the rehearsal site. Can your child go off-site for lunch and/or breaks?

ENCORE expects participants/students to present themselves in attire that is appropriate. Encore Uniform: for regular sessions/rehearsals 1 - T-shirt 2 - Comfortable bottoms: sweatpants, shorts, leggings etc. (clothing should NOT be excessively baggy or excessively tight) 3 - Sneakers 4 - Hair: if long, hair should be tied back. Comfortable clothing will allow for proper movement. Please note: Participants in violation of the dress code policy will be asked to leave the rehearsal area until appropriate attire arrives. Multiple violations may result in dismissal from Encore. I have read and agree to adhere to the dress code policy.

Cell phones and other related electronic devices, including but not limited to earpieces and Bluetooth should not be visible and are prohibited in rehearsal areas. Cell phones should be placed on the ‘off’ mode. The following actions are NOT ALLOWED during rehearsal time. 1. Making telephone calls 2. Sending or receiving text messages 3. Retrieving or entering telephone numbers 4. Playing electronic games 5. Taking pictures with a cellular phone camera 6. Setting alarms Violations of this policy will result in confiscation. Confiscated items will be returned to parents/legal guardians only. In the event of an emergency please call: 1. Ms. Gigi 954-309-5665 2. Ms. Nikki 754-234-3481 3. Ms. Tiffany 954-618-7488

ENCORE expects that all participants/students will treat each other with fairness and respect. Harassment on the basis of race, religion, color, gender, age, national origin or disability or as otherwise provided under state or local law, will not be tolerated and is strictly prohibited. Harassment of this type is illegal and contrary to the policy of ENCORE. ENCORE strives to foster an environment free of harassment, discrimination, intimidation and insult. Harassment is a form of misconduct that undermines both personal and professional relationships at ENCORE. Every participant must be assured that he or she can work in an environment that is free from unwanted and unwelcome harassment and discrimination. Any person who believes that he/she is the victim of any type of discriminatory conduct should bring that conduct to the immediate attention of an ENCORE executive staff member or instructor. ENCORE will conduct a prompt investigation of all the circumstances surrounding the alleged incident in a confidential nature. If the investigation discloses that an individual has committed an act of discrimination, that individual will be subject to appropriate disciplinary action, up to and including dismissal. Retaliation in any form against an ENCORE participant/student who complains of discrimination or harassment is strictly prohibited and will result in appropriate disciplinary action. Disciplinary action may call for any of the following steps: 1- Verbal Warning (accompanied by verbal parental notification) 2- Written Warning (accompanied by written parental notification) 3- Final Warning 4- Dismissal from ENCORE (depending on the severity of the problem and the number of occurrences.) I have read and understand the Harassment Policy and agree to its terms.

All ENCORE participants are expected to conduct themselves in a manner to which the safety of others is priority. If at any time you feel your safety is being compromised please notify an ENCORE and/or rehearsal site staff member immediately. All ENCORE participants, including board members, staff, cast members, parents and volunteers should be treated with courtesy and respect at all times. ENCORE participants are expected to refrain from fighting, "horseplay," or other conduct that may be dangerous to others. Firearms, weapons, and other dangerous or hazardous devices or substances are prohibited from the premises of the City of Lauderhill and all ENCORE venues without proper authorization. Conduct that threatens, intimidates, or coerces another ENCORE participant or a member of the public will not be tolerated. This prohibition includes all acts of harassment, including harassment that is based on an individual's sex, race, age, or any characteristic protected by federal, state, or local law. All threats of (or actual) violence, both direct and indirect, should be reported as soon as possible to your instructor or any other member of management. This includes threats by employees, cast members, parents, volunteers or other members of the public. When reporting a threat of violence, the ENCORE participant should be as specific and detailed as possible. All suspicious individuals or activities should also be reported as soon as possible to an ENCORE Staff member. Do not place yourself in peril. If you see or hear a commotion or disturbance near you, do not try to intercede or see what is happening. ENCORE will promptly and thoroughly investigate all reports of threats of (or actual) violence and of suspicious individuals or activities. The identity of the ENCORE individual making a report will be protected as much as is practical. In order to maintain safety and the integrity of its investigation, ENCORE may suspend or expel ENCORE participants pending investigation. Anyone determined to be responsible for threats of (or actual) violence or other conduct that is in violation of these guidelines will be subject to prompt disciplinary action up to expulsion from the program. ENCORE encourages all participants/students to bring their disputes or differences with other participants/students to the attention of their instructor or a member of the executive staff before the situation escalates into potential violence. ENCORE is eager to assist in the resolution of participant/student disputes, and will not discipline participants/students for raising such concerns. I have read and understand the Safety & Violence Policy and agree to its terms.

Participation in this program is supplemented by the City of Lauderhill and requires proof of residency. Be prepared to submit a copy of your driver license, state ID, utility bill, deed or lease. Documents must be submitted before or at Orientation: Saturday, July 13, 2019.

Participation in this program requires proof of income. Be prepared to submit a copy of your 2019 Tax returns, 3 most recent pay stubs or a FREE LUNCH approval letter from the School Board. Documents must be submitted before or at Orientation: Saturday, July 13, 2019.

Participation in this program requires proof of age. Be prepared to submit a copy of your child's birth certificate or most recent report card. Documents must be submitted before or at Orientation: Saturday, July 13, 2019.