MPBT 2021 Nutcracker Consents, Releases, and Acknowledgments

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Dancer's Name *

Parent or Guardian Name *

Fee Information Acknowledgment: I have reviewed and understand the Fee Information as stated in the Parent Information Packet with respect to Monterey Peninsula Ballet Theatre’s 2021 production of the Nutcracker. I agree to pay the required fees on or before the specified due date. I understand that if fees are not paid in a timely manner, the performer may not be able to participate in the production. Please type your name below: *

Rehearsal Information Acknowledgment: I have reviewed and understand the Participation Agreement with my child(ren) regarding Monterey Peninsula Ballet Theatre’s production of the Nutcracker. I understand that performers must make every effort to attend all rehearsals and performances. If a performer misses three rehearsals, I understand they are putting their participation in the performance in serious jeopardy.Please provide us any dates that you know your performer will be unavailable for rehearsals. Please type your name below: *

Costume Information Acknowledgment: I have reviewed and understand the Monterey Peninsula Ballet Theatre’s Costume Information (see attached). Please type your name below *

Family Volunteer Policy Acknowledgment: I have reviewed and understand the family volunteer obligation as stated in Monterey Peninsula Ballet Theatre’s Parent Information Packet. I understand that volunteers are critical to the success of the performance and that compliance with this policy is essential. I am buying out of my volunteer requirement by paying $400.00 in addition to the participation fee. Payable with the Participation Agreement. Check box, if applicable. By signing this participation agreement, I consent to the reproduction, sale and/or use of images of my child, recording of my child’s voice and musical performance in which my child may be portrayed for all purposes with or without the use of my name in the production of Nutcracker 2021 by Monterey Peninsula Ballet Theatre in all forms of media and in all manners, including advertising, trade, display, editorial and exhibitions. *

I would like to buy out of my volunteer hours and will send payment for $400.00 to MPBT.

I look forward to signing up for my Volunteer Hours.

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