ContractConference Agreement • August 31st, 2015
Contract Type FiledAugust 31st, 2015Troupe Directors: You will need THREE copies of each completed Agreement Form for everyone who be attending with your troupe – students and adults. Make sure the names here exactly match the names on your troupe registration.• You will place one copy in each attendee's neck wallet once you arrive at conference.• You will keep one copy with you at all times during conference.• You will submit one copy per attendee with the Registration Package (In alphabetical order by last name)Note: Every box/signature is required LAST NAME FIRST NAME DATE OF BIRTH HOME ADDRESS (Street, City, State, Zip Code) GENDER SCHOOL TROUPE NUMBER PARENT / GUARDIAN PRIMARY PHONE NUMBER SECONDARY PHONE NUMBER FAMILY PHYSICIAN PHYSICIAN’S PHONE NUMBER HEALTH INSURANCE COMPANY POLICY NUMBER PHONE NUMBER ALLERGIES TO FOOD AND/OR MEDICINES (If NONE, so state) MEDICATION YOU ARE CURRENTLY TAKING (If NONE, so state) SPECIAL MEDICAL PROBLEMS (If NONE, so state) RELEASEThe undersigned hereby releases and agrees to hold