Permission and Volunteer Form

Transcription

Permission and Volunteer Form
LAMORINDA IDOL
2015
PERMISSION AND VOLUNTEER
COMMITMENT FORM
Students must bring this signed form to the audition.
Permission: I give my permission for my student to attend the auditions on May 14-16, 2015, at Orinda
Intermediate School, and if selected as a Finalist, to perform in the Finals Competition.
Volunteer Commitment: I understand that the Lamorinda Arts Council, the sponsor of Lamorinda Idol, is a
volunteer-based non-profit organization. I agree that if my student is selected as a Finalist, I will commit to
a minimum of five volunteer hours (per family) to make this event a success. In lieu of providing volunteer
time, I understand I may pay an Opt-Out Fee of $150.
Eligibility: I affirm my student either attends school (Kindergarten through 12th Grade) or resides in Lafayette,
Moraga, or Orinda. A copy of driver’s license will be required at the audition as proof of residence for students
attending school elsewhere. Students from outside the Lamorinda area may participate in Group Categories,
providing that one of the group is from Lamorinda.
Availability: I affirm my student will be available to attend Rehearsal on September 4, 2015 (after school
between 3:00 pm and 8:00 pm, depending on category) and the Final Competition on September 6, 2015
(between 9:00 am and 7:00 pm, depending on category), if selected as a Finalist.
Financial Support: While there is no required fee for participation in Lamorinda Idol, families of those
participating are requested to provide tax-deductible financial support. Contributions support costs
associated with the finals and additional events. The suggested contribution for those auditioning is $10 per
family and contributions will be collected at the auditions. The suggested contribution for Finalists is $100
per family. Playbill good luck ads may also be purchased.
Consent to Publication of Image: Unless I give written notice of my disagreement at the audition, I give
permission to the Lamorinda Arts Council to use my child’s image without restrictions, including the display,
distribution, publication, transmission, or other use of photographs, images, and/or video taken of my student
for use in materials that include, but may not be limited to, printed materials such as brochures and
newsletters, videos, and digital images such as those on the Lamorinda Arts Council Web site, without
further notice to me. I understand that my child’s last name will not be used in conjunction with any video or
digital images.
Emergency: In case of an emergency, if I am unavailable in person or by telephone, I give permission for
my child to receive medical treatment.
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Print Name of Student
__________________________________________
Print Name of Parent or Guardian
__________________________________
Date
___________________________________________
Signature of Parent or Guardian (or Student if 18 or over)
PLEASE ATTACH AUDITION DONATION CHECK PAYABLE TO LAMORINDA ARTS COUNCIL