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Suessical Make-Up Auditions - Audition Fee: $15.00
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Additional Information: |
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Release of Liability
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As the legal parent or guardian, I hereby release and hold harmless Mary Jo's Performing Arts Academy, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or in route to or from any of said premises. I understand that appropriate physical contact is required during the instruction of dance, and I give permission for instructors to make appropriate physical contact with me or my child for such instruction.
I understand Mary Jo's Performing Arts Academy reserves the right to refuse my business without notice.
I've read the above and agree.
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Assumption of Risk
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In case of emergency or sudden illness, I hereby give permission for a staff member of Mary Jo's Performing Arts Academy to authorize any physician, nurse practitioner, medical personnel or hospital to render immediate emergency aid as it might be required for the undersigned participant's/participants' health and safety.
I hereby declare any physical/mental problems, restrictions, or conditions and/or declare the participant(s) to be in good physical and mental health.
It is required that all students be covered by their own family insurance and if injury occurs, it is understood that the participant(s) own policy is the only source of reimbursement.
I've read the above and agree.
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Terms & Conditions
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I understand the audition process and recognize the judges are professionals who are educated in theater and will place my child where he/she fits best. Our Director has the final decision on which part of the production will be the most beneficial for each student. This decision is final! There is a significant amount of time and financial commitment that will be expected from all cast members.
I've read the above and agree.
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Photo & Video Release
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I understand and acknowledge that, from time to time throughout the year; the participant(s) may be photographed and/or videotaped while participating in functions involving MJPAA. I do hereby authorize Mary Jo's Performing Arts Academy to use these photographs and videotapes for the purposes of illustration, advertisement and publication in any manner whatsoever.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:*
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