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336-333-7470
Community Theatre of Greensboro
By the Community. For the Community
Tickets
A Christmas Story
Winnie The Pooh Kids
Fiddler On The Roof
Hairspray
Youth Theatre
Camps and Classes
Centerstage
Actors & Volunteers
Auditions
Volunteer With Us!
Cast Lists
CTG’s Annual Production of The Wizard of Oz
Wizard of Oz Cast Page
Rentals
Outreach
CTG Outreach
OnStage and Inclusive
ABOUT
About CTG
Work With Us!
Board of Directors
Staff
Support
Donate Online
Be a CTG Sponsor
Wizard Of Oz Sponsorship
Over The Rainbow Campaign
Advertisers
Yellow Brick Road Campaign
Tickets
A Christmas Story
Winnie The Pooh Kids
Fiddler On The Roof
Hairspray
Youth Theatre
Camps and Classes
Centerstage
Actors & Volunteers
Auditions
Volunteer With Us!
Cast Lists
CTG’s Annual Production of The Wizard of Oz
Wizard of Oz Cast Page
Rentals
Outreach
CTG Outreach
OnStage and Inclusive
ABOUT
About CTG
Work With Us!
Board of Directors
Staff
Support
Donate Online
Be a CTG Sponsor
Wizard Of Oz Sponsorship
Over The Rainbow Campaign
Advertisers
Yellow Brick Road Campaign
OnStage and Inclusive Registration Form
OnStage and Inclusive
Registration Form
Please take your time with this form and read each section carefully. For any questions or concerns, please contact Wendy Wood at wendywoodosi@gmail.com
Participant's Name
*
First
Last
Participant's Date of Birth
*
MM slash DD slash YYYY
Parent/Guardian/Responsible Party Name
*
First
Last
Parent/Guardian/Responsible Party Phone
*
Parent/Guardian/Responsible Party Email
*
Enter Email
Confirm Email
Please list one emergency contact if the Parent/Guardian/Responsible Party cannot be immediately contacted before/during/after program hours.
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
First and Last Name of who is responsible for driving the Participant to/from the program:
*
Phone Number for Responsible Driver listed above:
*
CTG Registration Terms and Conditions
In connection with your registration for the theatre classes and/or theatrical performances to be conducted by the Community Theatre of Greensboro and in consideration of your enrollment and/or consent of said individual in such classes and/or performances, I/we the undersigned, acknowledge that I/we have been informed fully on the activities to be offered to said individual and consent thereto; represent that said individual are in good health and physically fit and capable of participation in the theatrical programs and performances to be offered by the Community Theatre of Greensboro acknowledge the risks and hazards of physical injury inherent in theatrical workshops and performances and hereby assume all such risks and hazards; and I/we hereby release, waive, and agree not to assert against Community Theatre of Greensboro, each of its directors, teachers, officers, supervisors, agents, or employees, any claim for injury to said individual in consequence of or incident to such training, performance or other activities.
By clicking "Yes", you are stating that you have read and agree to the terms above for CTG Registration Terms and Conditions.
*
Yes, I have read and agree to the terms above.
Authorization and Release
I hereby authorize and give my permission to the COMMUNITY THEATRE OF GREENSBORO to use (in any format) the likeness, name, voice and words of NAMED PARTICIPANT, myself/ my child, without compensation to my child or me, for the purpose of communicating, promoting, or advertising the purposes of the Community Theatre of Greensboro (the foregoing purpose is referred to as the “Project”). I understand that the COMMUNITY THEATRE OF GREENSBORO will own all copyright to all recorded and other material related to the Project and may annotate, edit, or otherwise alter such material. I hereby waive any right my child may have to inspect or approve the finished product. I understand that these materials may be used in whole or in part for radio, print, TV broadcast, cablecast, World Wide Web, satellite or other forms of electronic transmission or studio or video duplication and distribution of DVDs, videocassettes, audio cassettes, computer disks, or tapes or other forms of electronic reproduction, in perpetuity. I hereby release and discharge the COMMUNITY THEATRE OF GREENSBORO from any claims and demands of any nature whatsoever that my child or I may have now or hereafter in connection with these recorded materials. I have read the above and fully understand the contents. The Authorization and Release shall be binding upon me and my heirs and legal representatives.
By clicking "Yes", you are stating that you have read and agree to the terms above for Authorization and Release.
*
Yes, I have read and agree to the terms above.
OnStage and Inclusive Medication Policy
OnStage and Inclusive Staff will not be able to administer medications during your time at the theatre. If you take a regular medication during the hours of our rehearsals and performances, please discuss altering your schedule with your medical provider.
By clicking "Yes", you are stating that you have read and agree to the terms above for Medication Policy
*
Yes, I have read and agree to the terms above.
T-Shirt Size
Each cast member will receive one OnStage and Inclusive t-shirt(free of charge) that will be worn during the performance.
Participant T-shirt Size
*
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Which theatre skills are you hoping to develop or showcase in this program? (Acting, Singing, Dancing...or something else?) We want to hear your ideas!
*
50 word limit. If you are unsure at this time, please put "N/A" below.
Electronic Signature - Please Type
Participant Signature
*
First
Last
Date
*
MM slash DD slash YYYY
Parent/Guardian/Responsible Party Signature
*
First
Last
Date
*
MM slash DD slash YYYY
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