Medical and Photo Release Form Go backYour message has been sent Name(required) Warning OHIP#(required) Warning Emergency Contact (name)(required) Warning Emergency Contact (phone #)(required) Warning Has your child ever suffered from asthma, heart problems, breathing problems or any other medical condition that may affect his/her ability to participate in this program?(required) Warning Is your child on any medication?(required) Warning Does your child have any allergies? Please specify(required) Warning Injury Waiver: Each student and his or her legal guardian(s) hereby release Milton Youth Theatre Productions and Directors, Teachers and Employees from claim for personal injury sustained in, on or about the facilities(required) Warning Photography & Video Waiver: Each student and his or her legal guardian(s) hereby release Milton Youth Theatre Productions the rights to all photography and video that may be taken by or for Milton Youth Theatre Productions during classes or performances, for use in advertising and promotion, including television coverage.(required) Warning How did you find out about us? Newspaper Friend/Referral Audience Member in Show Community Event Town of Milton/Leisure Guide Other Warning Please specify Warning Warning. Submit Δ Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Like Loading...
Milton Youth Theatre Productions 