Presser Arts Center

Students Name *

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Last Name

Student Birth Date *

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Parent/Guardian Phone

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Parent/Guardian Name

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Last Name

Address

Address 1

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Emergency Contact

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Media Release *

I give permission to PAC to use any Photographs or video of participant in Promotional materials, commercials, website

Yes

No

Release: I, the undersigned parent/guardian of this student, a minor, do hereby release and discharge PPAC from any and all claims for personal injuries. *

Yes

Behavior Contract *

Behavior Contract * BEHAVIOR CONTRACT PAC BEHAVIOR CONTRACT RULES FOR REHEARSAL SPACE AND THEATRE FACILITY I know that participating at Presser Arts Center is a privilege and I will abide by the following: • Respect all personnel-directors, teachers, artistic team members, parents, other students, and facility representatives at all times. • Use honoring language and actions; I will not gossip, name-call, use profanity or inappropriate words or actions. • Treat property and facility with care. • Dress modestly and appropriately; I will not wear clothing that will be distracting-this includes for girls: short pants that are shorter than the length of my arm, no bare midriffs or cleavage showing. Boys: pants must be worn no lower than hips, and no underclothing showing, no tee shirts with inappropriate logos or pictures. • Be appropriate in my relationship choices and actions; I will avoid the use of drugs, alcohol, cigarettes, and overt physical contact with others. • I will not leave the building without permission of the Director • I will check out with the Director before I am released to go home. A parent/guardian must come to the door to pick me up. • My parent(s) or guardian must provide a note if someone else is taking me home. • I will TURN OFF my cell phone and all other electronic devices prior to entering class each day and KEEP THEM OFF or KEEP THEM AT HOME. I understand that Presser Arts is not responsible for any lost or stolen property. At the Theatre Facility: I understand that • I do not touch anyone's belongings except my own, unless directed to do so. • No eating, drinking (except water) and no horseplay • Costumes are hung up neatly on hangers every night without exception. Dressing rooms are left clean and orderly. We are guests in the facilities we are using. Participants will receive one warning. On the second warning, parents will be called for a conference. Any further violations, participants will be dismissed from the program. I understand that behavior problems may affect future participation in Presser Arts Center. I have read the above rules and reviewed them with my child. I agree to hold Presser Arts Center, and/or their assignee's, harmless in the event of an injury or accident. I consent to surveillance video cameras in all public spaces of Presser By completing my name below I agree to all of these terms and conditions. Type Students Name Below

First Name

Last Name