Disclosure Document

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Disclosure Document

First Name *

Last Name *

Student Email *

Class(es) You are involved in (Check All that apply) *

A1 Study Skills

A2 Stage Crew

A4 Musical Theatre

B1 Theatre 1

B3 Theatre 2/3

B4 Adv Theatre

Required

Parent First Name *

Parent Last Name *

Parent Email

Parent Phone Number

Best way to contact parent if needed *

Phone

Required

IN THE FOLLOWING SPACE, PLEASE EXPLAIN ANY LEARNING CHALLENGES THAT YOUR STUDENT MAY HAVE THAT WILL HELP ME HELP THEM: This information is optional and confidential and will only be used to benefit your student. I am interested in making every kid successful. (If your student has an Individual Education Plan “IEP” you may wish to make me aware of that so I can research that now.)

Please check the appropriate box for your child’s participation in the different Film Studies that may be used in the class *

YES my child is able to participate in the film study

NO my child may NOT participate in the Film study and will do another activity to learn the content discussed.

I would like my child to NOT watch the following film(s):__________________________________ But are allowed to participate if another film from the list is shown. (Please list the shows NOT ALLOWED TO PARTICPATE in below)

Films Not allowed to participate in

I Understand that... *

I (the Theatre and Stage Crew Student) am required to see one live production every semester (theatre 1,2,3, Stage Crew and musical Theatre) or every term (theatre 4) and fill out a play report form in the google classroom

I (the Study Skills Student) am a member of Study Skills/Skills for Success and therefore do not need to see a play but does need to keep a weekly planner

I Understand that... *

I (The Theatre 1 Student) an not required but understand that I will receive extra credit for this assignment

I (The Study Skills/Skills for Success student) am not required to do this assignment

I (The Stage Crew Student) Am required to log 1.5 hours a term of after school stage crew hours

I (the theatre Student) am required to read one script per semester (Theatre 2/3) or every term (Theatre 4) and fill out the script analysis available on the google classroom

I am the parent/legal guardian of the above student and I have read the disclosure document *

yes

I, as a student of the stated class, have read, understand and agree to follow the information outlined in the disclosure document *

Yes

Any questions, Comments or Concerns?

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.