Drama Club Registration Form

Choose Your Drama Club

Need more information? Go to dramabygeorge.com/dramaclubs and select “Details” under your school. *

If your school has multiple drama clubs and some are not shown, registration for those programs has closed.

Student Information

Student’s First Name *

Student’s Last Name *

Student’s Gender *

Student’s Grade *

Student’s Homeroom Teacher or Team *

Mailing Address

Address Line 1

Address Line 2

City

State

Zip

Parent 1 Information

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Phone *

Parent 1 Email *

Your registration confirmation will be sent to this address

Want to help our young actors with their performance?

Yes, please contact me (Parent 1) about volunteering on performance day!

Parent 2 Information

Add Another Parent?

Enter contact information for Parent 2

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone

Parent 2 Email

Want to help our young actors with their performance?

Yes, please contact me (Parent 2) about volunteering on performance day!

Dismissal and Emergency Contact Information

Dismissal After Drama Club *

Dismissal After Drama Club

All students (including Walkers) must be picked up following drama club by an adult 18 years or older. The only exception is students attending Aftercare/ CEP, who will be escorted to their program by Drama by George staff. (This information is not applicable for morning drama clubs. You can choose “Other” from the dropdown menu and type “NA.”)

Adults Authorized to Pick Up Child

We will only release your child to an individual listed here or to the parent(s) named above. (This information is not applicable for morning drama clubs. You can just type “NA.”)

Medical Conditions or Allergies *

Type “none” if not applicable

Emergency Contact Name *

If possible, please list someone who does not live in the same household as the student

Emergency Contact Phone *

Parent Permission Form

How would you like to sign?

I want to use an electronic signature

Uncheck the box to download and sign the Parent Permission Form on paper

Sign on Paper

You have chosen to sign a paper form and mail it to Drama by George. Please download and print the PDF provided here.

PLEASE READ CAREFULLY–THIS IS A LEGAL DOCUMENT.

LIABILITY RELEASE. I, the parent or legal guardian of the minor child named above, understand that there are risks inherent in my child/ ward’s participation in this drama club/ drama camp sponsored by Drama by George LLC, which is scheduled to be held at the School or Hosting Organization I have selected above during the academic semester specified. The risks to my child/ ward may include, without limitation, personal injury and the loss of personal property. I hereby agree to release, indemnify, and hold harmless Drama by George LLC and the School or Hosting Organization; together with their directors, members, partners, employees, contractors, volunteers, agents, and assigns; from any and all claims which I or my child/ ward may have for any losses, damages, or injuries that are in any way related to my child/ ward’s participation in the drama club/ drama camp.

PERMISSION TO USE PHOTOGRAPHS AND RECORDINGS. I grant permission for photographs, video recordings, and/ or audio recordings (“Content”) to be made of my child/ ward during the term of his/ her participation in the drama club/ drama camp. I hereby grant permission for Drama by George LLC and the School or Hosting Organization to use Content depicting my child/ ward in perpetuity, in all forms and media, for creating an publicly-accessible online media gallery from the drama club/ drama camp, for promoting future drama activities, and for any other lawful purpose. I understand that my child’s Content is not guaranteed to appear in an online gallery or to be publicly exhibited in any way. I waive any right which I or my child/ ward may have to inspect or approve the Content prior to its use. Note: If you do NOT wish to grant permission for your child to be photographed and/ or recorded, DO NOT SIGN THIS FORM. Contact us for further information.

AGREEMENT TO ADDITIONAL TERMS. I agree to be bound by Drama by George LLC’s Registration and Payment Policies, Terms and Conditions, and Privacy Policy, which are hereby incorporated into this document by reference.

ELECTRONIC SIGNATURE. I have chosen to execute this legal document with an electronic signature. I intend my electronic signature to have the full force and effect of a handwritten signature for the purposes of validity, enforceability, and admissibility.

Signature

Clear

Use the mouse or your finger to sign in the box

Type your full legal name *

Payment Information

Credit Card

Credit Card Billing Address

Address Line 1

Address Line 2

City

State

Zip