Magic at the Memorial! Pop Up Workshops
PLEASE READ THOROUGHLY - PAYMENT IS DUE AT THE COMPLETION OF THE FORM. 

Ages 9 - Adult | $50 per workshop or $250 for all 6
All workshops are 1-4 pm | Fresno Memorial Theater | 2425 Fresno St, Fresno, CA 93721

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Spring Pop Ups
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Student Name: (Last, First) *
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Class Selections
Authorization to Consent to Medical Treatment:  I (We), the undersigned, do hereby authorize representatives of Children's Musical Theaterworks of Fresno (such representatives to be employees, directors, Auxiliary members or identified volunteers) to serve as agents for the undersigned to consent to an X-ray exam, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the provisions of the Medicine Practice Act on the medical staff of any hospital licensed by the State of California whether such diagnosis or treatment is rendered at the office of said physician or  at said hospital or some other site. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is given to provide authority and power on the part of the aforesaid agent to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his best judgment may deem available. I (We) also understand and agree that CMT of Fresno will not be held responsible for injuries which occur to self/child while attending or participating in any CMT of Fresno function. This authorization shall remain valid for the duration of the participant's current registration with CMT of Fresno. *
Required
Allergy Information: My child has allergies that we need to be aware of (list all allergies or write none): *
Waiver of Liability: As the parent/guardian of the above-named child and/or on behalf of myself and/or my child, agents, heirs, and successors, I voluntarily agree to: 1) assume all risks of injury, illness, or death to myself or my child arising out of or resulting from participation in and/or attendance at the above-stated program or activity, such risks to include but are not limited to, injury, illness, or death due to being exposed to or infected by contagious diseases, including COVID-19; 2) waive and release all claims, causes of actions, actions, liabilities, and costs against CMT and its staff and board and members thereof, officers, employees, agents, and volunteers, and hold harmless CMT from any claims, causes of actions, actions, liabilities, and costs that may arise out of or result from my child’s participation in or attendance at such program or activity; and 3) assume all obligations for any medical, financial, and other costs and/or liabilities that be sustained or incurred by my child, myself, or my agents, heirs, and/or successors. CMT assumes no responsibility and shall not be liable for any injury, illness, death, liabilities, damages, or costs that my child, myself, my agents, heirs, and/or successors may sustain or incur arising out of or resulting from the aforementioned program or activity. *
Required
City of Fresno Waiver for Memorial Auditorium:   

All cast and staff acknowledge as Permittee, upon entering the theater building, that he/she: (i) has read and fully understands the content of this waiver form; (ii) is aware that this is a release and waiver of liability and a contract between the City and Permittee; (iii) has been fully and completely advised of the potential dangers and risks incidental to and/or inherent in participating in the Activity; (iv) has had the opportunity to consult with his/her attorney, in his/her discretion; and (v) is fully aware of the legal consequences of signing this Agreement.  FOR PERMITTEES UNDER THE AGE OF 18: This is to certify that I, as parent or legal guardian, have legal responsibility for Permittee. I acknowledge that I: (i) have read and fully understand the content of this Waiver Form; (ii) am aware that this is a release and waiver of liability and a contract between the City, Permittee and I; (iii) have been fully and completely advised of the potential dangers and risks incidental to and/or inherent in participating in the Activity; (iv) agree to stand in the shoes of the Permittee and be bound by the provisions of this Agreement; (v) have had the opportunity to consult with my attorney, in his/her discretion; and (v) am fully aware of the legal consequences of this Agreement.

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1) Advertising and Promotional Release:  I hereby consent to the reproduction and/or use of photographs, DVDs, and film and audio recordings of myself (or my child/charge) for advertising and promotional purposes only by Children's Musical Theaterworks of Fresno or its affiliates.  2) Conflict Regulations (See Calendar on next pages)I have listed every rehearsal that I will miss during the rehearsal period. I understand that any absences from a scheduled rehearsal, including the rehearsals I have listed above, can result in my exclusion from portions of the show.  That includes absences due to illness, as well as commitments to school, church, & family. I understand that this is not offered as punishment.  With a very complicated production & short rehearsal periods, each rehearsal must progress (regardless of my absence) to each opening night with a great show. There will be no time to “save a place” for anyone.  I understand that missing a performance is not permitted without permission from the director & artistic director prior to casting.                                               I have read and agree to all CMT Policies as noted in the Audition Rules and Information pages.
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Full Rules, Refund Policy and Other Requirements:  Full Rules, Refund Policy, Requirements *
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