Moorestown Theater Company

Private Lessons Registration

Contact MTC at (856) 778-8357 or
email Annette@MoorestownTheaterCompany.org
if you have any questions about this form.

Medical & Media Releases
Medical Release:  I release and hold harmless the Moorestown Theater Company, Inc. (MTC), and any of its officers, trustees, and/or staff, of any and all liability for any injuries or damages to me or my child, as a result of any function, rehearsal, or performance.  Furthermore, all participants are physically fit (except as noted below) to participate in a theatrical production.  I hereby authorize MTC to act for me in a medical emergency in the event that I cannot be immediately contacted.  I also hereby assume responsibility for payment of any treatment.

Media Disclaimer:  I will allow my name and photo and/or names and photos of my family to be used for promotional purposes, to be printed in the production’s program, and/or to be posted on the MTC website.

I acknowledge reading all of the above items, I understand all of them, and by clicking on the box below, I agree to abide by all of them.

I agree to the terms in the MTC Releases listed above. *