Acts of Kindness Meet and Treat Registration

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Thank you for registering for the Fall 2021 Meet and Treat program. Tentative schedule and program description can be seen on http://www.workshopartsinc.org. Please email twsattendance@gmail.com with any questions.

Email *

Troupe Member Name *

Troupe Member Date of Birth *

YYYY

Troupe Member Grade *

Troupe Member School *

Troupe Member Email (if you would like them to be included with parents on program emails)

Address *

Parent(s) Name *

Parent(s) Contact Phone Number *

Parent(s) Email *

Emergency Contact Name and Phone Number *

Allergy, medical, and/or behavioral details *

List any other after school or extracurricular activities (ex. sports, band, choir). Please include days of the week, dates, and times. *

List any conflicts with rehearsals in September (16, 19, 23, 30). Please include dates/times. *

List any conflicts with rehearsals in October (2, 7, 14, 21). Please include dates/times. *

List any conflicts with October 23 and 30 performance deliveries. Times TBD and rain dates will be October 24 and 31. *

Cast Member Height *

Cast Member Pant Size *

Cast Member Shirt Size *

Cast Member Shoe Size *

Cast Member Sweatshirt Size *

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Other:

We will need families to volunteer and help out. Let us know if there is anything in particular that would be of interest to you! (rehearsal assistance, collecting care package donations, promotion, costume work, ect)

I give permission for my child to participate in Theater Workshop's Acts of Kindness program, to receive emergency medical treatment if necessary, to appear in pictures for publicity purposes, and to be included on the TWS roster for distribution to TWS families. To acknowledge consent, please check below: *

I give consent

I do not give consent

Required

The Newbury Board of Health requires Workshop Arts Inc. receive a copy of your child's most current (within 13 months) Physician's Certificate of Health and Immunization Record. This form is usually given to you at your child's annual physical. Please acknowledge by checking below: *

I will provide a Physician's Certificate of Health and Immunization Record dated within 13 months

Required

A suggested donation of $150 can be made at www.workshopartsinc.org or by mailing a check to Workshop Arts Inc., 2 Silver Ledge Road, Newbury, MA 01951.

Thank you for registering. We are excited to get started on September 16th!

A copy of your responses will be emailed to the address you provided.

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