CCCMT - SHREK Registration Master
PLEASE READ PLAY FAQS BEFORE YOU REGISTER!
Please complete the entire form. Please complete a separate form for every person.
Gender *
Name: *
Last Name, First Name
Your answer
Grade: *
Grade you will be in next year.
School: *
School you will attend next year.
Your answer
Age: *
Birthdate: *
Month & Date only
Your answer
Height *
Your answer
Shirt Size *
Your answer
Pant Size *
Your answer
Primary Email Address: *
This is where all correspondence will be sent. Please check often
Your answer
Secondary Email Address:
If you want correspondence sent to an additional email.
Your answer
Parent's Names: *
Your answer
Primary Phone Number: *
Please add a main contact number. This is who we will call first if we need to contact you.
Your answer
Secondary Phone Number:
Your answer
Emergency Name and Phone Number *
If we are unable to contact you at the above 2 numbers, please list the name and phone number of someone we should contact.
Your answer
Please list any known dates that you will be unable to attend rehearsals. *
Please be as accurate as you can. Please make a note that more than 3 unexcused absences may result in removal from the show.
Your answer
I would prefer to be cast with the following people so I can CARPOOL.
Your answer
I understand there is a participation fee and that registration is limited. I also understand that I am not registered until the participation fee has been paid. *
(The participation fee $90 first child, $65 each additional sibling) This INCLUDES the costume fee) This Fee is NON-REFUNDABLE. There will be an additional costume fee for mains leads due at a later time.
I have read BOTH the CCCMT FAQ's and the Parent/Student Expectations and agree to abide by the rules and guidelines. *
I understand that notices and calendar changes/updates will be sent via email and/or text AND are posted on the CCCMT website. I understand that it is my responsibility to check the calendar and website to ensure I know when I am supposed to be to practice. *
I understand that one of the parent/guardians of the child registering is required to sign-up for at least one (1) night to help backstage during the performances. *
I give CCCMT permission to photograph, film, or record my child in rehearsal, performance and/or production. I understand that CCCMT may use these images for publicity, advertising, or for applications for grant funding. I give full permission and agree to waive all copyright and future considerations. *
I declare that I am the parent or legal guardian of the above named child. In the event my child is injured or should require medical attention, I hereby request that you contact me or our emergency contact. In the event that we cannot be reached, I hereby authorize CCCMT to secure necessary medical treatment for my child. I further acknowledge that I will be responsible for any medical or hospital fees or costs associated with my child’s medical treatment. I assume all risks and hazards from participation in this production and hereby waive, release, absolve and indemnify and agree to hold harmless CCCMT , it’s organizers, sponsors, directors, volunteers, and participants for any claim arising out of injury to my child. My signature below indicates that I have read, understand, and agree to the terms. *
Parent/Guardian ELECTRONIC SIGNATURE *
Please type name below. First and Last
Your answer
Please list any questions or concerns:
Your answer
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