BURR'S GOT TALENT 2019
Registrations must be received no later than Friday, April 26th at 5pm
EVENT DATE: FRIDAY, MAY 10, 6:30PM
Sponsored by the Burr PTA
NAME OF ACT
How you'd like it to appear in the program. EACH STUDENT MAY BE IN ONE ACT ONLY. Example: "The Mary Sunshine Singers"
Please enter your child's name here. For group acts, see bottom of form to list all group members. Each parent must fill out this form to sign the waiver for their child to participate, but one "parent leader" should be selected for each group act.
TYPE OF ACT
Singing, dance, comedy, instrument…All acts must be 2 MINUTES OR LESS.
Please list student's grade.
Please list all requirements: mats, chairs, a table, a music stand, a microphone, piano accompaniment, CD/music? Please list anything we need to provide for your act.
SONGS FOR ACT (IF APPLICABLE)
To avoid redundancy, we will feature a song only once in the show. PLEASE LIST YOUR FIRST AND SECOND SONG CHOICE. We will notify you asap which song is accepted. We reserve the right to refuse inappropriate lyrics/material. For duplicate song requests we will choose the act who submitted the form first.
PARENT CELL NUMBER
Please include cell phone number in case we need to reach you during rehearsals.
IF GROUP ACT: NAMES OF OTHER MEMBERS IN GROUP
Please list all members in the group act. Remember, each parent needs to fill out this form for their child to sign the waiver.
NAME OF PARENT LEADER
Each act must have one parent leader.
PARENT LEADER EMAIL AND CELL PHONE
Please double-check to make sure you input address and phone correctly.
PARENTS--INTERESTED IN VOLUNTEERING?
We need a lot of help to make sure the show runs smoothly. Please enter your name if you are interested in volunteering.
5TH GRADE or ALUMNI VOLUNTEER
We'd love to have extra stage hands to help with lights, programs, curtain, and other activities on the night of the show. Must arrive ~5:30pm on Friday, May 10. Please include parent contact info.
5TH GRADE VOLUNTEER POSITION
5th graders can be announcers also! Please select which you'd like to do.
WAIVER--FILL IN NAME
I (we), as parent(s) or guardian(s) of the above-named minor, do hereby, for our son / daughter, myself, my (our) heirs, executors and administrators, remise, release and forever discharge Burr Elementary School PTA, Inc., Fairfield PTA Council, PTA District 4, and the Connecticut Congress of PTA (Connecticut State PTA) and all PTA officers, employees and agents of each of the foregoing, acting officially otherwise, from any and all claims, demands, actions or causes of action on account of referred. I hereby certify the minor is my (our) son / daughter and that his / her date of birth is noted above and I (we) do hereby certify that to the best of my (our) knowledge and belief said minor is in good health. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs. I (we) hereby advise that the above named minor has had the following allergies, medicine reactions or unusual physical condition which should be made known to a treating physician. (If none, please write the word “None”.)
Send me a copy of my responses.
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