KEYS 2 LIFE PERFORMING ARTS SUMMER DAY CAMP REGISTRATION FORM
PLEASE LEGIBLY PRINT ALL INFORMATION

International Institute • 111 East Kirby Street • Detroit Michigan 48202 • (313) 870-9771

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PAYMENT INFORMATION

After paying registration, please return to this page and submit application.

"New" Students Click HERE To Pay Registration (you will be redirected to paypal)

"Repeat" Students Click HERE To Pay Registration (you will be redirected to paypal)

By checking this field I do hereby acknowledge that I am the Parent/Legal Guardian of (the student) and I affirm that the student is healthy and capable of participating in the class for which he/she is registered, and that the student is capable of self administering prescription or other medication provided by me. The Yuinon Inc. has my permission to secure emergency medical/surgical treatment for the student. I hold the Yuinon Inc. harmless for injury or illness affecting the student during supervised class activities both in and outside of the International Institute. I also grant permission for the use of images and the voice of the student while the student is involved in the Keys to Life Camp activities, for promotion of the Yuinon Inc., whether produced by the Yuinon Inc. or commercial media outlets.