Registration

Join the Rising Stars Program and Discover Your Confidence

Media Release

Parent/Guardian First Name

Student First Name

Parent/Guardian Last Name

Student Last Name

I, the parent or legal guardian of the above named child grant permission to Lake Travis Music Theatre, hereinafter known as the “Media” to use my student's image (photographs and/or video) for use in Media publications including:

Videos
Email Blasts
Social Media Posts
Website and/or Affiliates
Promotional/Recruiting Materials

I am the parent or legal guardian of the above named child. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that may failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

I accept terms & conditions

Your Signature

Registration Process:

✅ contact info

✅ student experience

✅ parent consent form

☐ media release form

☐ consent to payment/fees

☐ $50 registration fee

Registration

Media Release

Registration Process: ✅ contact info ✅ student experience ✅ parent consent form ☐ media release form ☐ consent to payment/fees ☐ $50 registration fee

Registration Process:

✅ contact info

✅ student experience

✅ parent consent form

☐ media release form

☐ consent to payment/fees

☐ $50 registration fee