AOP Presents Disney, Frozen Jr. -Registration

Student name *

Student Age *

Full Home Address *

Street Address, City, State, Zip

Parent Phone Number *

Parent Name *

Participant’s Date of Birth *

2019-2020 School *

How did you hear about us *

Emergency Contact Name *

Emergency Contact Relationship to Student *

Emergency Contact Phone Number *

Email Address *

Pickup Policy if participant is under 18 *

You MUST check one if registering your child

My child is 12 or under, and I understand that an approved adult must walk my child into the building and walk in to pick up my child. My child will not be released without an approved adult sign-out.

My child is 13 or older, and I prefer to walk into the building to pick up my child. My child will not be released from AOP without an approved adult sign-out.

My child is 13 or older, and I give him/her permission to be released to walk to the parking lot without sign-out and release Acting Out Productions any liability for my child once he/she leaves the building.

Publicity Release *

You MUST check one

I give permission for myself and/or my child to have photographic/video pictures taken at Acting Out Productions rehearsals and events for publicity purposes, which may include my child’s name, picture, art and recordings.

I DO NOT give permission for myself and/or my child to have photographic/video pictures taken at Acting Out Productions rehearsals and events for publicity purposes, which may include my child’s name, picture, art and recordings.

By registering myself or my child, I hereby waive and release any and all claims/damages that I or my participant may have against Acting Out Productions for any injuries that may occur during involvement in productions/rehearsals/activities. *

I agree

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