Mamma Mia! Contract & Release Form

Mamma Mia! Contract & Release Form
This is to be submitted by a Parent or Guardian prior to Auditions. We are doing this in place of the Parent Meeting.

* Indicates required field

Mamma Mia! Contract & Release Form *

Your Student(s)'s Name *

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1 *

Cell Phone *

Parent/Guardian 2 *

Cell Phone *

Email Address *

Emergency Contact Person *

Emergency Contact Phone Number *

CONSENT (Type your response in the box)

I understand that my student must help with the Set Strike after the production is over. *

I give my permission for my student's picture/video/likeness/voice to be used in promotional media. *

I give my permission for my student to be given Tylenol or Ibuprofen if needed. *

I understand that GCYT is not responsible or liable for accident/injury my student my incur. *

MEDICAL INFORMATION

Physician's Name *

Physician's Phone Number *

Insurance Provider *

List any illnesses, allergies, behavior problems or other concerns we need to be aware of. *

Policy Number *

Offer any suggestions or ideas you have for making this the best experience possible. *

The $75.00 Activity Fee & $10.00 Cast Meal Fee are due by Saturday, April 14th. Do you plan on sending a check or paying online? Online payment is on the "Cast Info" page of our website. *

I have read the Cast Packet below and agree to help my student follow the guidelines. *

Submit

Cast Packet

Mamma Mia! Contract & Release FormThis is to be submitted by a Parent or Guardian prior to Auditions. We are doing this in place of the Parent Meeting.

Mamma Mia! Contract & Release Form
This is to be submitted by a Parent or Guardian prior to Auditions. We are doing this in place of the Parent Meeting.