OTC Youth Theatre 11 week Fall course

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Weekly Classes Ages 5 - 10 from 10:00 - 11:30

Participant's Name and Age *

How many classes would you like to attend? *

11 weeks (September 11, 18, 25 October 2, 9, 30 November 6, 13, 27 December 4, 11)

Single class

Other:

Required

If you ticked a single class please let us know which date you would like to attend.

Parent's Name *

Parent's Telephone Number (In case of emergencies) *

Email *

Please add my email to the OTC mailing list to receive news about upcoming performance, and workshops. *

Yes

Required

Address *

Does your child have any allergies? *

Yes

Required

If yes, What allergies?

PUBLISHING OF PARTICIPANT'S IMAGE: I hereby give permission for my child’s photo to be used for promotional/marketing purposes on behalf of Orange Theatre Company, including printed matter and Orange Theatre Company website and Social Media. *

I give permission

I do not give permission

Required

LIABILITY RELEASE: Orange Theatre Company is released from any and all liability rising from related to, or connected with, any injury, illness, or damage for any reason, caused by, or sustained in the course of any participation in performances, rehearsals, or any other activities conducted by or associated with OTC. *

I have read the liability release and agree

Required

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