Variety Show 2019: Student Permission Form

Students, parents, teachers! It’s time to sign up for the Hemenway Variety Show, to be held on Friday, April 5th at Walsh Middle School! Plan your act. Be part of the show!

This form is the student permission form and must be completed by each performer. Each performer in your act must then submit an online participation permission form with their personal information and parental consent in order to participate.

No forms will be accepted beyond Tuesday February 26, 2019.

This will be our eighth year offering JOIN THE ACT, a group act that welcomes all kinds of talent, and is specifically for any student who doesn’t have their own act or for any student whose act didn’t get a slot in the show. Join The Act has been a huge success and truly offers all students, who have the chops, the chance to be on stage! This is great for Kindergarteners and first graders that have never experienced the stage. If you are signing up for Join The Act, you cannot be in any of the other performing groups.

Email address *
Student Name *
Your answer
Student Grade *
Parent / Guardian Name *
Your answer
Parent / Guardian Phone # *
Your answer
My child would like to participate in the following way *
My child is in 5th Grade student and would like be an MC *
Please CAREFULLY read and check EACH of the boxes below to acknowledge your agreement.
I understand that participation in the Hemenway Variety Show is assigned on a lottery basis, according to the rules on the flyer, and that, unfortunately, not all students who register may be able to participate. *
I understand that performers may only be in one act and must be students, parents of students or teachers of Hemenway School. *
My child will attend both the dress rehearsal and the Variety Show at Walsh Middle School. *
I understand that the Variety Show is a well loved event and a prime example of the Hemenway community coming together. I understand that if my child participates, I will be contacted to help. *
My child and I will abide by the rules of the Variety Show and demonstrate Hemenway's Core Values. *
By submitting this form, I authorize that I am allowing my child to participate in the Hemenway Variety Show *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service