Moana Registration
Please complete all sections to sign your child up for RPST 2021/2022
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Email *
Child's first name *
Child's last name *
Current grade *
Parent/guardian name (first and last) *
Parent/guardian phone number *
Second Parent/guardian name (first and last)
Second Parent/guardian phone number
Second Parent/guardian email
Third Parent/guardian name (first and last)
Third Parent/guardian phone number
Third Parent/guardian email
Alternate pick up person name
Alternate pick up person phone number
Allergies/Medical needs/Special needs or accommodations
Parent/guardian employer-please list companies for all parent/guardians *
Desired Volunteer Role *
Regular Transportation Method (any transportation changes need to be made through the School Dismissal App) *
Please list any special skills that we could use. Examples include photographer, carpenter, artist, make up artist, seamstress and so many more
t shirt size
pant size
chest circumference (inches)
waist circumference (inches)
hip circumference (inches)
head circumference (inches)
inseam (inches)
shoe size
Medical Release: Please read and initial below for your acknowledgement of statement that follows: I hereby give my permission and approval for the participation of the above child/ children, in all activities sponsored by River Place Student Theatre, and I assume all risk and hazard incident to such participation, including transportation to and from such activities. Accordingly, I waive, release, indemnify and I agree to hold harmless River Place Student Theatre, all instructors, club officers, officials, participants, River Place Student Theatre Board, parents and practice or performance venues from any claim arising out of injury to my child/children while participating in any and all activities, including, but not limited to transportation to and from all practice rehearsal sessions or shows. I agree to advise and make known to River Place Student Theatre and all instructors of any change in the physical health or any condition that would limit or prohibit my child/children from participation. I acknowledge that masks are required initially in accordance with public health guidelines and is a requirement to participate in this program. Mask policy will be updated as local conditions change. I acknowledge that this electronic acceptance is as valid as a signature. *
Media Release: Please read and initial below for your acknowledgement of statement that follows: I give permission for use of print, video and or voice tape, and/or photographs in which the name, likeness or representation of my child may appear for River Place Student Theatre promotions (no personal information like address or phone number will be posted publicly). This includes but is not limited to social media, yearbooks, end of season recording and photography. I acknowledge that this electronic acceptance is as valid as a signature. *
Behavior expectation contract: Please read and initial below. Parents and cast members are expected to show respect in communication with other children and volunteers. Bullying is not tolerated. RPST has the right to remove any child from the program who does not comply with our behavior expectations. Refunds for the program will not be given if child is removed for bullying others or after repetitive disruptive or disrespectful behavior. Attendance at practice is a requirement for participation in our program. Any potential conflict must be noted at auditions and will be taken in to account for casting. Three or more unexcused absences may result in dismissal from the cast. Refunds will not be given if child is removed from the program due to unexcused absences. I acknowledge that this electronic acceptance is as valid as a signature. *
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