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Registration

Join the Rising Stars Program and Discover Your Confidence

Parent Consent Form

Informed Consent and Waiver Release for Participation in Rising Stars Productions Presented by Lake Travis Music Theatre, Inc. Lago Vista, TX. -

I agree and consent to the following:

My child,

First Name

Last Name

is voluntarily participating in the Lake Travis Music Theatre, Inc’s Rising Stars Company. I understand that any class/production for which my child participates may require physical exertion at times which could cause physical injury and am fully aware of the risk hazards involved. I represent and warrant that my child has no medical condition that would prevent his/her participation in the program. I agree to assume full responsibility for any risks, injuries, or damages that he/she might incur as a result of participation in this program. I also agree to the use of my child's photo or video on LTMT's website or social media solely for purposes of class/performance promotion. I knowingly, voluntarily, and expressly waive any claim against Lake Travis Music Theatre, Inc. or its contracted venues for any injury or damages my child may sustain as a result of participating in this program. I have read the above waiver and release of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

Parent/Guardina First Name

Relationship

Parent/Guardian Last Name

Date

Your Signature

Registration Process:

✅ contact info

✅ student experience

☐ parent consent form

☐ media release form

☐ consent to payment/fees

☐ $50 production fee

☐ evaluation signup

☐ outstanding balance
(due at evaluation)

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