2022-2023 CYT Agreements
Every student must have this form filled out before the first day of class. No exceptions. This form counts for the entire 2022-2023 Season
Student(s) Full Name(s) *
*
You can enter multiple student names or fill a form out for each student.
- {name}
I confirm the following information is updated FOR EACH STUDENT on our CYT family account. * *
- Emergency Name
- Emergency Phone Number
- Medical Allergies
- Medical Provider
- Medical Provider Phone Number
- Shirt Size
- I have completed this information for each student individually.
MEDICAL & LIABILITY RELEASE AGREEMENT *
If you or your child is involved in a Christian Youth Theater class, production or camp, you are hereby advised that our organization does not carry Workman's Compensation Insurance for participants or volunteers.
You, on behalf of yourself, participating child(ren) and representatives, heirs, next of kin (collectively hereafter “You”), hereby acknowledge and agree that the novel coronavirus infections (“Covid”) have been confirmed throughout the United States including Louisiana. By participating in the CYT program You represent that neither You nor anyone in Your household have recently exhibited(or are exhibiting) any symptoms commonly attributed to Covid. If You or Your child should suffer an injury or illness (including without limitation, Covid) while participating in our programming, You will be personally responsible for your medical or injury related expenses and You agree to indemnify and hold harmless CYT with respect to any injury or illness and You hereby release waive and discharge
CYT from any claims relating thereto.
You also give permission to the designated adult supervisor in charge to secure emergency medical treatment for the minor involved.
Check the box below to acknowledge that you understand and agree to the above Medical & Liability Release
Media Release *
I hereby authorize and consent that CYT shall have the absolute right to copyright, publish, use, sell or assign any and all photographs, portraits or pictures, television spots, movie films, videotapes and/or sound recordings, or any part thereof, that have been taken of my child(ren), or in which my child(ren) may be included in whole or in part.
Check the box below to acknowledge that you understand and agree to the above Media Release
PROGRAM PARTICIPATION PERMISSION *
I give the child(ren) named in this form permission to participate in CYT Lake Charles classes, showcase, show rehearsals and shows, camps, and other CYT activities.
Check the box below to acknowledge that you understand and agree to the above Program Participation Release
DISMISSAL FOR AGES 12-18
Every student will wait with the adult in charge. If you give permission for your student between the ages of 12-18 to self release, please check the box below. This means that your student is permitted to exit classes or rehearsal on their own to drive home, ride with a friend or to find you in the parking lot. CYT will not be responsible for your student after they leave CYT on a self release.
Check the box below to acknowledge that you understand and agree to your child ages 12-18 being SELF RELEASED from classes or rehearsal.
COMMITMENT TO CHARACTER *
Please read below the Commitment to Character your student(s) will be asked to uphold.
Your student(s) will sign a hard copy of the Commitment to Character in class.
Broadway Babies and Mini Musicals:
Please go over this information with your student at home.
"CYT is dedicated to developing character and creativity in kids of all ages through quality theater arts training that brings families and communities together while reflecting the Creator.
Participation in Christian Youth Theater is a privilege. By enrolling in a CYT class, show, program or event you are agreeing to uphold the following Commitment to Character. Read carefully.
At CYT I Will Practice:
RESPECT
• Unnecessary talking, cell phone usage, texting, and other distractions are not allowed during classes, rehearsals, or performances.
• Students should respect those in authority such as instructors, CYT staff, and other adults. Students should respect other students as well.
• CYT expects students’ conduct to be respectful of property, and therefore, any damage done to property will be expected to be replaced or repaired by the student. Food and drink, including water, is prohibited backstage and onstage unless allowed by staff member.
• Students must stay in designated areas and may not leave the facility.
INTEGRITY & UNITY
• Gossiping (sharing personal information that is not your own), name calling, and profanity is not tolerated.
• Honoring and encouraging language must be used.
• Maintain appropriate content and images on all social media. You are representing CYT and are a role model.
DISCIPLINE & DILIGENCE
• CYT expects discernment in regards to your actions and interactions while at CYT. Discernment could include but is not limited to: holding hands, kissing, or “couples” isolating themselves from the group. Drugs, alcohol, and smoking/vaping are strictly prohibited.
COMPASSION & SELF CONTROL
•Bullying and Violence against others or oneself is strictly prohibited. No hitting. Unrestrained physical contact is inappropriate at CYT all activities.
DISCRETION & HUMILITY
•CYT expects students to dress appropriately to support the learning environment.
If I fall short in my Commitment to Character, CYT agrees to hold me accountable in one or MORE of the following ways:
1. The adult in charge will speak directly with me regarding my situation.
2. A CYT staff member will call or meet in person with my parent/guardian to discuss expectations moving forward.
4. The CYT Artistic Director will speak with me and my parent/guardian. Dismissal from the class, show, program or event may result and may affect my future CYT participation."
Check the box below to acknowledge that you understand and agree to the above Commitment To Character Agreement
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