RRDG SUMMER WORKSHOP
"LIGHTS, CAMERA, ACTING"

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FIRST AND LAST NAME *
GENDER *
AGE *
BIRTHDATE *
MM
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DD
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YYYY
ADDRESS (INCLUDE CITY, STATE, & ZIP) *
CONTACT NUMBER  *
WHAT SCHOOL DO YOU ATTEND *
WHAT GRADE ARE YOU CURRENTLY IN? *
MEDICAL CONCERNS (ALLERGIES OR OTHER IMPORTANT INFORMATION
PARENT NAME *
ADDRESS, IF DIFFERENT THAN ABOVE LISTED
CONTACT NUMBER  *
EMAIL ADDRESS  *
EMERGENCY CONTACT (NAME AND CONTACT NUMBER, IF PARENT CAN NOT BE REACHED) *
ALL CAMP MEMBERS AND VISITORS ARE EXPECTED TO LEAVE THE BUILDING AND GROUNDS FREE OF TRASH.  ALL AREA MUST BE KEPT CLEAN AND IN THE CONDITION IT WAS ORIGINALLY FOUND IN OR BETTER.

DO YOU UNDERSTAND AND ACCEPT THESE TERMS?
*

Photo/Liability Waiver 

My child has permission to participate in River Region Drama Guild, Inc.’s Young Actors Workshop. RRDG has the right to use photos of my child for promotional purposes. Photos could be from class time, rehearsals, performances, etc.

I understand that in the event of an emergency, every effort will be made to contact the people named above, but RRDG reserves the right to exercise judgment in calling 911 in the case of an emergency.

I understand that my child’s participation in RRDG’s Young Actors Workshop can be potentially hazardous, and I assume full and complete responsibility for any injury or accident which may occur while my child and I are traveling to or from RRDG events, during RRDG events, or while I am on the premises of a RRDG event. I am also aware of and assume all risks associated with my child’s participation in RRDG and RRDG events. I understand and agree that in consideration of my child’s being permitted to participate in the event, that I, for myself, my child, and my heirs and executors, hereby waive, release, and forever discharge RRDG, and its directors, agents, representatives, successors, and assigns, and all other persons associated with RRDG and a RRDG event, from all liabilities, claims, actions, or damages that I or my child may have against them, arising out of or in any way connected with my child’s participation with RRDG. I understand that RRDG expressly disclaims all warranties of any kind, express or implied. I acknowledge and agree that I am signing this Agreement and Waiver freely and voluntarily, and intend my acceptance to be a complete and unconditional release of all liability to the greatest extent allowed by law.

I further understand that any fee paid is non-refundable and non-transferable. The $75.00 is due on or before each day of the workshop, unless otherwise agreed to.  Fee can be paid via Credit/Debit Cards, cash or Checks payable to River Region Drama Guild, Inc.


I FULLY UNDERSTAND AND CONSENT TO THE ABOVE STATEMENT.
 

*
TYPE YOUR FULL NAME BELOW, WHICH ACKNOWLEDGES THAT ALL THE ABOVE IS TRUE.  THIS GIVES YOUR CONCENT TO THE ABOVE AND YOUR ACCEPTANCE TO THESE RULES AND REGULATIONS.   *
DO YOU NEED ASSISTANCE WITH THE REGISTRATION FEE (SCHOLARSHIP)  *
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