Performing Arts Terms Acknowledgment
Please review and acknowledge the terms and policies for participation in performing arts activities.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Role or Area of Participation
*
Please Select
Actor
Dancer
Musician
Technical Crew
Other
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any relevant medical conditions or accessibility needs?
Please indicate your prior performing arts experience
I acknowledge that I have read and agree to the terms and policies for participating in the performing arts program. I understand the expectations, code of conduct, and any media release provisions outlined above.
*
Acknowledge and Submit
Acknowledge and Submit
Should be Empty: