Register for Magic Class – NYC Birthday Party Magician | New York Magician for Kids Magic Evan

Thank you for deciding to register your child in magic class!

Once you fill out the form and press "Register for Magic Class," you will be directed to PayPal to make an online payment. Or you may mail a check, payable to Magic Evan LLC, to 229 5th Avenue, Brooklyn, NY 11215.

If you have any questions, you can contact Evan by emailing evan@magicevan.com or calling 1-855-624-4238. Thank you!

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Child's Name*
What Grade Is Your Child In?*
Child's Birthdate*
Month
Day
Year
Which Session Are You Registering For?*
- SUMMER: Tuesdays, July 8th - August 12th, 2014
- FALL: Tuesdays, September 2nd - October 7th, 2014
Parent / Guardian Name*
Phone Number*
Alternate Phone Number
E-Mail*
Parent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact
First Last
Emergency Contact Phone
Payment*
I have enrolled my child in a program of physical activity. I understand the inherent risks including personal injury that may result in my child’s participation in this activity. I assume the risk and hereby affirm that my child is in good physical condition and does not suffer from any physical disability that would prevent him/her from participation in this program. I hereby agree, that I, for myself, my children adopted or otherwise, my heirs or executors, waive and release any and all rights and claims for damage that I may have at any times against Magic Evan LLC or the agents or representatives for injury or damage in connection with my child’s entry in activities sponsored by Magic Evan LLC. I have read and fully understood the above.
Signature of Parent / Guardian*
First Last
I do hereby give authority to the Magic Evan LLC staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible.
Signature of Parent / Guardian*
First Last
I hereby consent to the taking of photographs, movies or videotapes of the Child named above by Magic Evan LLC and its staff and agents acting on its behalf with its permission. I also grant to Magic Evan LLC the right to edit, use, and reuse said products for use in print, on the Internet, and all other forms of media. I understand that work or photographs will not be captioned with my child’s full name, and that no other personally identifiable information will be released or posted.
Name
First Last