Variety Show 2019: ACT FORM
ACT FORM: ONE FORM PER ACT PLEASE!

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 for the entire act, please only complete once. Each performer in your act must then submit an online participation form with their personal information and parental consent beginning February 7, 2018, in order to participate. This form is not required for Join The Act.

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

As the Variety Show has been so popular, a lottery registration will be conducted. Preference will be given to the first 20 group acts registered to give as many kids as possible a chance to be on stage. This being said more group acts will be invited to participate than solo acts. Encourage your child to form a group/team. Should your act not receive a slot, you can be added to Join The Act performance.

Join The Act participates, please complete the Student Permission Form and NOT this form.

Email address *
Primary Contact Name (parent contact for act) *
Your answer
Primary Contact Phone # *
Your answer
Act Type *
Act Name
Your answer
Include names and grades of all student(s) participating in this act (i.e. John Smith, Grade 3) *
Your answer
What song, if any, are you using in your act? *
Your answer
Additional Comments
Your answer
Please CAREFULLY read and check EACH of the boxes below to acknowledge your agreement.
I understand that the act MUST BE 2 MINUTES OR LESS in length and that my performance will be interrupted if it runs longer. *
Required
I will attend both the dress rehearsal and the Variety Show at Walsh Middle School. *
Required
A copy of your responses will be emailed to the address you provided.
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