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Registration for Summer Revels 2017
Rehearsals start on Monday, May 15.
First Name
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Last Name
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Age Category
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main e-mail
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second e-mail
We will also send all emails to this address.
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Please choose your status.
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If child or teen: 1st responsible adult (name and phone #)
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If child or teen: 2nd responsible adult (name and phone #)
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If child or teen: Indicate school name or homeschool
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If child or teen: age as of May 1
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Vocal range
You may check more than one box, if appropriate. Leave blank if you are unsure.
Main phone
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Additional phones
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Mailing address
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Town
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State
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Zip code
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If other family members are registering, please list them.
Please note: each person should fill out a separate registration form.
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Allergies or medical concerns we should be aware of:
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Participation Fee: $35 for individuals (skip this if registering as a family)
We are offering the use of Paypal, using a credit card or your PayPal account.
Participation Fee: $60 for families
We are offering the use of Paypal, using a credit card or your PayPal account.
Financial Assistance
Revels North will turn nobody away due to financial constraints! We will work with any family to find a participation fee that fits in with the family budget. Please contact rose@revelsnorth.org for more information
I would like to contribute to the Summer Revels Scholarship Fund
You may contribute either with the website payment button or by including in your check.
Would you like to volunteer?
To volunteer for a Revels North event or program, including Summer Revels, go to the Backstage Reveler Portal at this address: http://goo.gl/forms/MnaDVX1smO. Click the appropriate boxes, and we'll send you links to specific volunteer opportunities.
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Medical release
I hereby give permission for the staff of Revels North to provide simple first aid treatment to me or my child when necessary. In the event of a more serious illness or injury, I give permission for myself or my child to be transported to an emergency medical facility to receive emergency treatment.
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Publicity Release
I hereby give to Revels North permission to use my, photograph and/or video for publicity purposes.
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How did you hear about us?
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Comments or questions
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VOLUNTEER ACKNOWLEDGEMENT AND RELEASE
For the purpose of this release a 'volunteer' is anyone working with Revels North, Inc. without pay or who is being paid a seasonal honorarium or stipend. Revels North, Inc. has seven year-round positions which are defined as 'employees'. You are hereby recognized as a volunteer of Revels North, Inc., a non-profit organization whose mission is to produce performances and events, which encourage understanding, and appreciation of traditional music, dance, ritual, and other art forms through the medium of participatory theater and communal celebration. The purpose of this recognition is to comply with the provisions of N.H. Revised Statutes Annotated 508:17, which provides immunity from civil liability for volunteers of nonprofit organizations, who have written approval of the organization. We offer our sincere thanks to you for your service to Revels North, Inc. I, the undersigned volunteer, hereby acknowledge and agree that the programs and activities of Revels North, Inc. are produced largely by volunteers; that productions and activities such as those produced by Revels North often involve unusual costumes, props, stage sets and the like, often created or provided by volunteers; that adult participants act with a minimum of supervision, direction and control; that care and supervision is provided to minors under Revels North’s Safety of Minors policy; and that these factors, together with the exigencies of any staged production, often create unknown and unpredictable risks of potential injury or property damage. I willingly agree to assume all such risks, and I do hereby release, discharge, and hold harmless Revels North, Inc., its employees, agents, officers and directors, from any and all liability to me as to any claims and causes of action, including but not limited to actions for personal injury, death, illness, and property damage which may result from my participation in a production of Revels North, Inc., in the absence of willful, wanton or reckless conduct by said persons. In that Revels North, Inc., is a New Hampshire non-profit organization, I agree and consent that New Hampshire law shall govern any issue arising from my participation. I further acknowledge and understand that Revels North, Inc. carries insurance that is limited both in nature and amount of coverage, and that Revels North, Inc. will not be providing insurance coverage to me for any bodily injury or property damage, including damage to any musical instruments or props provided by me nor for any damage to my vehicle, no matter who is driving that vehicle. I also understand that any person providing transportation for any aspect of Revels North, Inc. activity or production is required to carry his/her own auto liability insurance and I agree to abide by that requirement. I understand that I am not an employee of Revels North, Inc., and will not be covered by any employer liability insurance or workers compensation insurance; and further, that if I wish my person or property to be insured, I should carry my own insurance. I AGREE TO ALL THE FOREGOING TERMS AND CONDITIONS.
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