Name: Main Cast Registration
SKU: 33056
Availability: InStock

Parent/Guardian Contact Information
Parent/Guardian Name*
First Last
Relationship to Child(ren)*
Address*
Street Address City ZIP Code
Primary Phone Number*
Secondary Phone Number
Email*
Enter Email Confirm Email
Would you like to add details for another parent/guardian?
Parent/Guardian #2 Contact Information
Parent/Guardian #2 Name*
First Last
Parent/Guardian #2 Relationship to Child(ren)*
Parent/Guardian #2 Address*
Street Address City ZIP Code
Parent/Guardian #2 Primary Phone Number*
Parent/Guardian #2 Secondary Phone Number
Parent/Guardian #2 Email*
Enter Email Confirm Email
Emergency Contact Information
In case of emergency, if we can’t reach you, whom do we call?
Emergency Contact Name
Emergency Contact Phone
Child’s Physician
Physician's Phone Number
Parent Opportunities
We are looking for parents who might have some special talents to share with LPRT. Photographers, Chefs, or Caterers to provide pre-show dinners for our theatre, artists to paint murals, etc. Please share with us anything you might be willing to offer!
Tell us about your talents and skills!

About Your Child(ren)
Special Considerations
Does your child have any physical limitations, special medications, dietary restrictions, limitations of activity, or other considerations of which the staff should be aware? Please specify:
Previous Experience
Has she/he had any previous performing experience? Any special skills (i.e., acting, singing, dancing, juggling, tumbling, etc.) Please specify briefly:
Musical Instruments
Can he/she play any musical instruments well?
Rehearsal Conflicts
Any times NOT available for rehearsal (Note: 1 or 2 missed rehearsals early in the schedule may be okay, however attendance at run-throughs, dress rehearsals and all performances is mandatory):
Audition Week
During Auditions Week, I prefer sessions in the:*
- Morning (9:30 am to 12:00pm)
- Afternoon (12:30pm to 3:00pm)
- Either would be fine

Legalese
Release*
- I, the undersigned, being a parent/guardian of the above, or being an active participant in Little People’s Repertory Theatre, a program operated by the San Lorenzo Valley Youth Council, Inc., do hereby agree to hold harmless for injury, loss or damage the San Lorenzo Valley Youth Council, Inc. and any or all of its employees, and any or all individuals being paid or volunteering their services connected with San Lorenzo Valley Youth Council, Inc. programs. I also give employees of the San Lorenzo Valley Youth Council, Inc. the right to authorize emergency treatment and/or ambulance service for the above, if deemed necessary by the employee.
Model Release*
- I grant permission to Little People's Repertory Theatre to use photographs of my child(ren) taken during rehearsal and performances for publication in LPRT promotional materials, including the internet.
We reserve the right remove any child who is unduly disruptive. (This is a rare event.) Bullying or disrespectful behavior towards others will not be tolerated.
Message To LPRT
Anything you would like to let us know that was not covered in the form?
Stay In Touch
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Total
$0.00
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Main Cast Registration

Child's Information