HTY's MINI MASQUE 2017
Registration Form - Sept. 23, Waialae Country Club

Minimum Age: 5 yrs old – Please RSVP by Sept. 18, 2017
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Pricing *
   By checking the authorization box below, I hereby waive all responsibilities from HTY and any employee or volunteer acting with the permission of HTY from all liabilities arising from property damage and bodily injury which may be sustained during participation in the Mini Masque.
   I authorize and give full consent to HTY to copyright and publish any photographs and/or video recordings in which the above named child appears while participating in the Mini Masque. I understand that HTY may use these photographs and/or video recordings for any and all promotional and educational materials related to HTY, and agree their use of such purpose.
    I agree to the above and authorize Honolulu Theatre for Youth or any of its employees to refer said applicant, if injured or ill, to our family physician when I or my spouse cannot be reached. If no family physician is designated, HTY or any of its employees are authorized to select a physician when deemed necessary.
   Additionally, I give permission for my child to participate in tumbling/parkour activities. 
Authorization *
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