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. __________________________________ 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