Theater Showcase Highlight Consent Form
Please complete this form to provide your consent for participation and use of your likeness in theater showcase highlights.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Production Title or Group Name
*
Description of Highlight or Media (e.g., scene, performance, or material to be featured)
*
Date of Consent
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit Consent
Submit Consent
Should be Empty: