Drama Participation Form - Blanchet Catholic School

Please fill out this form to sign up your student for a drama production.

*FEES must be paid before students begin drama rehearsals. Follow this LINK to pay your drama fee.

Musical Production Fee: $150 (includes meals before performances, t-shirt )
Play Production: $75 (includes meals before performances, t-shirt )
Tech Fee $50 (includes meals and t-shirt for production)

My student will be participating in: * (1 required)

The Fall Drama Production The Spring Musical

Student Name *

Emergency Contact 1: *

Emergency Contact 1 Phone#: *

Emergency Contact 1 Email: *

Emergency Contact 2

Emergency Contact 2 Phone#:

Emergency Contact 2 Email:

Student T-Shirt Size * (1 required)

XS S M L XL XXL

Does the student have any allergies? * (1 required)

YES NO

If yes, please explain.

Has the student had serious injuries or medical problems requiring medical attention within the last year? * (1 required)

YES NO

If yes, please explain.

Does student have any ongoing significant disease such as epilepsy, diabetes, asthma, or chronic heart disease? * (1 required)

YES NO

If yes, please explain.

Dietary Restrictions? Please list Food(s) to be omitted with suggested substitutions. * (1 required)

YES NO

Dietary Restrictions? Please list Food(s) to be omitted with suggested substitutions.

INSURANCE & DISCLAIMER

Injuries can and do occur during production activities. We understand that the possibility of sustaining an injury ranging from minor to catastrophic exists while participating in any program event. My signature below shows that I acknowledge that hazards are present in drama participation and that injury may result. My signature also authorizes the school to obtain any emergency transportation or care that may become necessary in the course of drama production activities.

I agree to sign this form electronically:

Parent Signature *

Parent Email *