Theatre Preview Night

November 11

6:00pm - 6:45 Dinner (Optional)

7:00pm - 9:30 Performance

The Saint Ursula Academy Theatre Department would like to invite 7th and 8th grade girls and a guest (parent, guardian, friend!) to attend the dress rehearsal of our fall performance: The Lightning Thief: The Percy Jackson Musical on November 11 at 7:00 pm! An optional dinner of LaRosa's pizza and salad will be provided at 6:00. Tickets are limited and are on a first-come, first-served basis.

We hope you'll join us for this fun performance!

"*" indicates required fields

Student Name*

First Last

Phone

Student cell number

Please list the student cell phone number if you consent to the student receiving text messages from Saint Ursula Academy.

Current School*

Current Grade

6th Grade

7th Grade

8th Grade

Parent Email*

How many tickets would you like?*

Each registrant may request up to two tickets.

One Ticket

Two Tickets

Will you be joining us for dinner?

Yes

Please list any food allergies or restrictions below:

Permission and Release of Liability

The undersigned, on behalf of the minor listed above and for whom the undersigned is the natural or legal guardian, hereby releases Saint Ursula Academy, its trustees, officers, administrators employees and agents, from any and all liability of whatever nature relating to or in any manner arising out of the use by such minor of the Saint Ursula Academy’s program(s) and/or facilities. Furthermore, the undersigned agrees to indemnify and hold harmless Saint Ursula Academy, its trustees, officers, administrators, employees and agents, from any and all damages, expenses or other losses arising from or in connection with any suit, or other legal proceedings or otherwise, including attorneys’ fees with respect to the use of Saint Ursula Academy’s program(s) and/or facilities or any part of them by the minor named above. This release and indemnification shall be binding upon the personal representatives, heirs and assigns of the undersigned and of the minor named above. I understand that my Child’s participation in the Activity is purely voluntary and is a privilege and not a right, and that my Child, and I on behalf of my Child, agree to my Child’s participation in the Activity in spite of the risks of injury, illness, infectious and/or communicable disease (such as MRSA, influenza, or COVID-19), and death. I agree that if my Child has underlying heath concerns which may place him/her at greater risk of contracting COVID-19 or that would possibly increase the severity of illness if COVID-19 is contracted, then my Child and I will consult with a health care professional before participating in the Activity. I also hereby agree that St. Ursula Academy and its agents may use a photograph, video, or other likeness of the minor listed above to be displayed and produced, electronically or in print, by Saint Ursula Academy or its agents. If I do not want Saint Ursula Academy to use the minor’s photograph for promotional purposes, I will notify the Admissions Department electronically at [email protected] prior to the start of the event requesting that the minor not be photographed during the event. I acknowledge that I have full power of authority to sign this document on behalf of the above minor, that I have read the foregoing paragraph, that I understand it, and that I have the option to have it reviewed by legal counsel prior to signing, and that I freely execute this document on behalf of the above minor.

Signature

Are you having difficulty signing above?

Yes

By initialing below, I agree to the terms explained in the above "Permission and Release of Liability" statement.*

Please list initials in box below.

Name included in signature above*

First Last

Saint Ursula Academy does not discriminate on the basis of race, color, religion, national or ethnic origin in admitting students to all its programs or in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered program.