EmailMe Form - HATTILOO THEATRE SCHOOL

Date

MM / DD / YYYY

Child's Name

First Last

Parent/Guardian's Name

First Last

Parent/Guardian's Email Address

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Select School

KINDERKIDS Ages 4-5

LOWER ACADEMY Ages 6-9

UPPER ACADEMY Ages 10-13

PERFORMANCE INTENSIVE Ages 14-17

Age

Gender

Male

Female

Non-binary, gender-fluid, agender,

Prefer not to say

Race

Interest (select all that apply)

Transportation

Yes

No

I understand that if my child misses two classes (even with credible excuses) that he/she will automatically dropped from the class.

Yes, I understand

I understand that if my child is late for four classes (even with a credible excuse) that he/she is automatically dropped from the class.

Yes, I understand

By checking the consent box and submitting this digital form, I declare that I am the legal parent/guardian of the student/child named in this registration form, and I give consent for my child to participate in HATTILOO THEATRE’S programming.

I give permission for HATTILOO THEATRE to photograph and record my child, and I also grant HATTILOO THEATRE the perpetual right to use the recordings of my child's voice, likeness, and works created by my child during programming, including the right to use their name or likeness in connection with performance, exhibitions, advertising, or any other use of such motion pictures, videos, publications, and soundtrack recordings.

I further release all exclusive rights to or ownership of any content that my child has created or helped to create while participating in this program. Furthermore, I grant HATTILOO THEATRE permission to copyright all aforementioned materials in its name.

I will not seek compensation from HATTILOO THEATRE for my child's involvement in any program-related projects or from works created by them.

Regarding liability, I understand that participation in this program involves certain risks and hazards. My child is voluntarily participating in this program, and I give my consent for participation.

I agree to assume the risks involved for myself and the child in my care and I acknowledge that such risks may include, but not be limited to, bodily injury and/or property damage, and I hereby agree to hold harmless HATTILOO THEATRE, their Boards of Directors, officers, employees, agents, representatives, volunteers, and assigns (“Releases”) from all claims and damages of any kind, resulting from or related to participation in the program. This release is also meant to prevent my family from pursuing legal action against releases and binds my spouse, if I have one, my estate, siblings, parents, heirs, personal representatives, and assigns.

I consent