Moorestown Theater Company

Summer Stage '17 Registration



 Contact Annette at (856) 778-8357 or
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 Release: 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 and advertising materials.

Remind Text Messaging System
Please join our Text Messaging System so we can contact you in case of an emergency change to our schedule.
Enter this number 81010 and text this message @17-ss to it. Trouble using 81010?
Try texting @17-ss to (201) 654-0606 instead.
You will be prompted to enter a name.
Even if you have joined other MTC REMIND groups, you must join this group too.
It is specifically for the Summer Stage '17 Participants.
* Denotes a required field

I agree to the terms in the
MTC Releases listed above and
I have signed up for REMIND Text Messages.
One-Time Non-refundable Summer Stage Registration Fee per Camper:
(This is different than the other 2017 Registration Fees and must be paid once specifically for Summer Stage '17.) *