Student's name *

First Name

Last Name

Student's date of birth *

MM

DD

YYYY

Parent's name *

First Name

Last Name

Parent's phone number *

(###)

###

####

Alternate phone number

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency contact *

First Name

Last Name

Emergency contact phone number *

(###)

###

####

Photo release *

I authorize Sunbit Theatre Arts to take pictures for Sunbit's Facebook page and the Sunbit website

Yes

No

General waiver and medical consent *

In the event of an accident of medical emergency I hearby authorize the director of Sunbit Theatre Arts, or a person designated by them to consent to any medical treatment by a qualified practitioner that may be necessary. We hearby release the director and staff of Sunbit Theatre Arts from injury, loss or damage to any person of belongings while incurred at Sunbit Theatre Arts. I also understand that the use of Sunbit Theatre Arts facilities is made strictly at the risk of the applicant and agree to abide by the regulations governing Sunbit Theatre Arts.

I agree