Registration: Annalie and the Circus Show

Registration

Annalie and the Circus Show 2022
If you have any questions about this form or anything else, the quickest and most effective way to get ahold of us is by emailing info@triadaz.org. Thank you!
Parent/Guardian 1 Name (Primary Contact) - will be added to email/text lists *

First Name Last Name
Parent 1 Email *
example@example.com
Parent 1 Phone Number *
Please enter a valid phone number.
Parent/Guardian 2

First Name Last Name
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
Add Parent/Guardian 2 to email list

Yes No
Add Parent/Guardian 2 to text list

Yes No
Performer Name *

First Name Last Name
Performer Email
example@example.com
Performer Birthdate *

Month Day Year
Date
Performer Phone Number
Please enter a valid phone number.
Important Medical/Allergy Information
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you have another child to register?

Yes No

Liability and Medical Release
I, Parent First Name* Parent Last Name* ,understand that participation in dance and theatre activities, such as auditions, classes, rehearsals, and performances, could include actions or tasks which may be hazardous to the participant or volunteers. By signing below, I assume any risk of harm or injury which might occur to the participant or volunteer due to his/her/my participation in the activities of Triad Performing Arts of Arizona. I release Triad Performing Arts of Arizona from all liability, costs and damages which might arise from participation in these activities. If the participant is a minor, I agree that the minor has my consent to participate in these activities. I further provide my consent for Triad Performing Arts of Arizona to seek emergency treatment for the minor if necessary. I agree to accept financial responsibility for the costs related to this emergency treatment.
Participant Name(s) *
Parent/Guardian Signature *

Clear
Parent/Guardian Typed Name *
Date *

Month Day Year
Date

Photo and Video Release
I consent to allow Triad Performing Arts of Arizona to use photos and/or videos of my child/myself in publications (such as flyers/brochures), advertisements (such as newspapers or online ads), on Triad's website, and on social media (such as Triad's facebook or Instagram account). I further understand no compensation will be payable to me for use of these photos and videos.
Participant Name(s) *
Parent/Guardian Signature *

Clear
Parent/Guardian Typed Name *
Date *

Month Day Year
Date

Volunteering
Every family is required to give at least 2 hours of volunteer time. There are many options for this! Select the areas below that you are interested in and our volunteer coordinator will contact you. If you have other skills or talents to offer please write that in the comments.

If you would like to opt out of volunteering, you can instead pay a $50 volunteer fee (in addition to the $105 fee that everyone will pay for participation). Triad runs on the power of donations and volunteer hours, and we appreciate your support in one or both of these ways.
Volunteer Areas: *

Costumes - creation, organization, crafts, sewing, repairs, alterations Fundraising Team Prop/set building Backstage help during the show Stage Crew Tech Crew Photography/Videography OR $50 Volunteer Fee Other
Any comments:

Required Participation Fee
The participation fee is an important part of our budget. It helps with costumes, sets, venue rental, lighting and sound technicians, photography, etc. and the many rehearsal hours of our teachers. All of this makes it possible for us to put on a professional level production and create an amazing experience for our performers.

If this fee is a hardship for you, just reach out to us - info@triadaz.org, kellie@triadaz.org, or kat@triadaz.org. We want everyone to be able to participate regardless of financial situation. Thank you!

Participation Fee (Required) Choose the number of participants. A discount is applied for more than one participant.

$ 105.00 Quantity

Volunteer Fee (Optional) (if this option was chosen on the previous page)

$ 50.00

Total

$ 0.00

Registration