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West Shore Theatre Summer Youth Musical Theatre Workshop
Performer Participant Name
Performer Date of Birth
(Entering 2022-23 School Year)
Entering 6th Grade
Entering 7th Grade
Entering 8th Grade
Entering 9th Grade
Entering 10th Grade
Entering 11th Grade
Address Line 1
Address Line 2
Performer T-Shirt Size
Safety and Waiver Acknowledgement
I agree that I have read the Safety and Waiver Release below and agree to its terms and conditions.
Cancellation/Refund Policy Acknowledgement
I agree that I have read the Cancellation/Refund Policy below and agree to its terms and conditions.
Use of Photography, Video, or other Media
I agree that any photography, video, or audio taken of my child while participating in a class, a special event, or use of a facility may be used by the West Shore Theatre for promotional purposes
Yes, I agree.
No, do not use photography or video of my child in any public or promotional way.