Registration Form: Friends & Family

Once registration is complete, an email will be sent out in regards to selecting an audition/meet and greet time.

**For The Little Mermaid Jr. – last call for registration is October 19th 2017.

Full Name(required)

Gender(required)

Date of Birth (Year/Month/Day)(required)

Address(required)

Postal Code(required)

City(required)

Email(required)

Home Phone Number(required)

Cell Number

MYTP Friends & Family(required)

OHIP#(required)

Emergency Contact (name)(required)

Emergency Contact (phone #)(required)

Have you ever suffered from asthma, heart problems, breathing problems or any other medical condition that may affect your ability to participate in this program?(required)

Are you on any medication?(required)

Do you have any allergies? Please specify(required)

Injury Waiver: Each participant hereby releases Milton Youth Theatre Productions and Directors, Teachers and Employees from claim for personal injury sustained in, on or about the facilities(required)

Photography & Video Waiver: Each participant hereby releases 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)

How did you find out about us? Newspaper

Friend/Referral

Audience Member in Show

Community Event

Town of Milton/Leisure Guide

Other

Please specify