Integrated Artistic Production Registration 2023

Particpants Name:

First Name *

Last Name *

Date of Birth: DD/MM/YYYY *

Program Start Dates: *

Creative Space: October 2nd Monday: 6:00-7:30PM

Little Theatre player: October 3rd Tuesday: 6:00-7:30PM

Musical Academy: October 3rd Tuesday: 6:00-7:30PM

Parent/Guardian Information:

First Name *

Last Name *

Address *

Address 2

City *

State/Province *

Zip/Postal Code *

Phone *

Email Address *

Required for all ages. Please note *

If "NO" is selected, your child will not be in the audition clips or report. Please note that the Resilience Project partners cannot guarantee that this event's photographs, video, and audio recordings will not include your recognizable image of yourself or your child's image.

YES, I consent to the use of my/my child's photo, video, audio, or other identifying recording by the Resilience Project partners to communicate their activities, include on websites, social media sites, or when shared with other partners and families; and, for me/my child to be photographed or interviewed by the media as outlined above. My consent also indicates that I waive all claims to compensation or damages based on using my/my child's photo and/or video or voice recordings by the Resilience Project partners. I also waive any right to inspect or approve the finished photo, video, or voice recordings. I agree that all such portraits, pictures, photographs, video and audio recordings, digital files, works, and any reproductions thereof shall remain the property of the Resilience Project partners unless otherwise noted. I understand that this consent is valid for one year and may be withdrawn by me at any time with written notice.