WRP 2021-22 High School Troupe Registration

WRP 2022-23 High School Troupe Workshop Registration

for Students Entering Grades 9-12
Show: Guys and Dolls!

Rehearsals are held on Sundays from 5:00-8:00pm beginning on Sunday, August 7th, at 3D Motion Dance Center, 506 S Hunt Club Blvd, Apopka.

Tech Week Jan 22-26, 2023

Performances Jan 27, 28 & 29, 2023
Password
Student's Information
Student's Name *

First Name Last Name
Current Age *
Grade Entering in Fall 2022 *
Workshop open to students entering grades 9-12 in Fall 2022
Student's T-Shirt Size *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent/Guardian Information
Name *

First Name Last Name
Cell Number *

Area Code Phone Number
E-mail *
Please list any additional email addresses that you would like included on the High School Troupe email distribution list
Like all non-profit community theaters, WRP relies on the help of volunteers in all areas of production. Please indicate below how your family would be able to support the High School Troupe production: *

Set Construction Team Set Painting Team Props Team Costume Team Cast Party Committee Head Shot Photographer Bio Boards Cast T-shirt Design Program Ad Sales Program Design Design Marketing Materials Usher (show weekend) Concessions (show weekend)
Health and Liability Waiver
Is your child in good health and able to participate in all normal activities? *

Yes No
If your child has any medical, physical or behavioral conditions that we should be aware of, please state them here:
Please list any known allergies:
Please list any medications being taken (OTC and Prescription):
Emergency Contact's Name *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
Student's Physician *
Physician's Phone Number *

Area Code Phone Number
Medical Insurance Company: *
Policy # *
Tuition Payment

Tuition Fee *

2022-23 WRP High School Workshop $ 475.00

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Total $ 0.00

Tuition Policy – A full refund will be granted if the WRP Board is notified in writing at least 30 days prior to the first rehearsal date. Refunds minus a $50 registration fee will be granted if the WRP Board is notified in writing after the 30 day deadline but prior to the registration deadline of 10 days before the first rehearsal. No refunds will be granted after the registration deadline. Withdrawals due to medical emergencies or relocation will be addressed by the WRP Board on an individual basis.
Informed Consent and Acknowledgement

In the event that the minor listed above has an illness or accident requiring emergency medical care, hospitalization, medication or surgery while participating in any of the programs of Wekiva River Players, Inc., I hereby give my authorization to staff members or approved volunteers of Wekiva River Players, Inc. to act or to approve or to consent to emergency medical or surgical treatment and/or hospital care of the above minor to be rendered under the general or special supervision of any licensed physician or surgeon. It is understood that this authorization is given in advance of any specific diagnosis or emergency treatment being rendered.

In addition, I agree to release and discharge Wekiva River Players, Inc., its Officers, Directors and Agents thereof, from any claims, demands or liability of damage arising from my child’s participation in programs sponsored by Wekiva River Players, Inc. I hereby assign and grant to Wekiva River Players, Inc., or those authorized to act on their behalf, the right and permission to copyright and/or publish photographs or video likeness of me (or my minor student(s)) as set forth in this agreement. Wekiva River Players, Inc. may use in whole, or as part of a composite, the reproduction thereof for promotion in any manner, including on the Wekiva River Players, Inc. website and social media accounts.
CONFIRMATION *

BY CHECKING THIS BOX YOU ARE PROVIDING THE ELECTRONIC EQUIVALENT OF YOUR SIGNATURE AND ASSERT THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO THE INFORMED CONSENT AND ACKNOWLEDGEMENT SECTION ABOVE.
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WRP 2022-23 High School Troupe Workshop Registration