Community Theater Participation Consent Form
Please fill out this form to give your consent for participation in the community theater.
Participant's Full Name
First Name
Last Name
Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name (if participant is under 18)
First Name
Last Name
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you consent to participate in the community theater activities?
Yes
No
Do you agree to abide by the theater rules and regulations?
Yes
No
Additional Comments or Concerns
Signature of Participant (or Parent/Guardian if under 18)
Submit
Should be Empty: