THIS FORM MUST BE PRESENTED AT THE AUDITION
It must be printed, signed and filled out.
I hereby warrant that I am the parent and/or legal guardian of the individual who signed the foregoing contest Information Sheet, that I am at least 18 years of age, that I have caused said individual to execute said Contestant Information Sheet, that I will not instruct, authorize or permit said individual to disaffirm the foregoing Contestant Information Sheet, and that I will indemnify YOUNG TALENT BIG DREAMS (YTBD), ACTORS’ PLAYHOUSE AT THE MIRACLE THEATRE, THE CHILDREN’S TRUST and any official sponsors, suppliers and vendors affiliated with YOUNG TALENT BIG DREAMS from and against any and all claims, liabilities and expenses with respect to said Contestant Information Sheet, and that, knowing of YTBD’s reliance hereon, I agree to cause said person to adhere to all of the provisions of said Contestant Information Sheet. In addition, in consideration for my possible participation in YTBD, I hereby agree to be bound by and perform all of the terms and conditions of the foregoing Contestant Information Sheet, as such terms and conditions may relate to my participation or the participation of my child/ward in the YTBD and the audition process, if any (including but not limited to the taping of my appearance in connection with YTBD and the audition process and the use of my child’s/ward’s name, voice, likeness, etc.).

I have read and understand and agree with all information provided. YES

PRINT PARENT NAME:
___________________________________________________________________________________

PARENT/LEGAL GUARDIAN SIGNATURE:
___________________________________________________________________________________

CONTESTANT NAME
___________________________________________________________________________________

PHONE:

PRINT NAME:

STREET ADDRESS:

CITY & STATE ZIP

RELATIONSHIP TO MINOR:

E-MAIL:

If the parent or legal guardian is unable to attend please print third party name AND signature:
___________________________________________________________________________________
EACH performer MUST have a Parent/Guardian permission form to present at the audition.
THIS FORM MUST BE PRESENTED AT THE AUDITION

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