Dreams of Hope Youth Performing Arts Group

Dreams of Hope Youth Performing Arts Group

Participation Agreement

Please sign and return pages 2-3, and keep page 1 for your records. You will not be allowedto begin rehearsals without this signed form.

I understand that my participation as a member of the Dreams of Hope Youth Performing Arts Group is primarily for my educational and developmental benefit and that I am not acting as an employee of Dreams of Hope. I understand and agree that I do not expect and will not be entitled to any compensation for any activities I undertake as a member of the Dreams of Hope Youth Performing Arts Group, other than a $35 stipend for each performance other than the January performance (and a $100 stipend for the January performance).

I will abide by all federal, state, county, and local laws and ordinances at all times and in all places while a member of the Dreams of Hope Youth Performing Arts Group.

I will not smoke at Dreams of Hope events or on Dreams of Hope trips.

I will not drink alcoholic beverages at Dreams of Hope events or on Dreams of Hope trips.

I will not use any drugs (other than prescribed medications used in the dosage and manner prescribed) at Dreams of Hope events or on Dreams of Hope trips.

I will not have intimate relations or contact with anyone at Dreams of Hope events or on Dreams of Hope trips.

I will conduct myself appropriately at all times that I am at Dreams of Hope events or on Dreams of Hope trips.

I appreciate the fact that many other members of the group may be significantly older or younger than I.

I understand that my possessions can and will be searched periodically without notice.

I will support other members of the group in keeping their agreements.

I hereby release and waive any claims against Dreams of Hope, its staff, its board members, and any of its contractors or volunteers, if I am injured at Dreams of Hope events or on Dreams of Hope trips, including transportation on such trips arranged by Dreams of Hope. I have been advised that Dreams of Hope carries accident medical insurance on its members, which covers the first $100 of a claim for any accident that occurs while a member is participating in a Dreams of Hope activity. After the first $100 the member’s (or his or her parent’s) insurance would take over. If neither the member nor his/her parent has medical insurance, the Dreams of Hope policy would cover the expenses in excess of $100, subject to the applicable terms of the policy.

I hereby acknowledge that my participation in the group may be the subject of photographic, video, and/or audio recordings. I (we) hereby consent and authorize said recordings and allow said recordings to be reproduced, published and distributed by news and media organizations. I understand that the recordings will be used for informational, entertainment, and instructional purposes only and will not be used to generate a profit or for any other commercial purposes. I agree that that I shall not be entitled to, nor will I seek, any compensation for the recordings or their distribution. I agree that I will not publicly display or disseminate any photographs, videos or audio recordings of Dreams of Hope performances or activities, including without limitation on any social media site such as Facebook, Twitter, Tumblr, Vine, or similar sites, without prior written permission from the Director of Performance Programs.

I understand that I may be given an opportunity to travel to venues outside the greater Pittsburgh area to participate in Dreams of Hopes performances and events. I understand that Dreams of Hope may arrange for transportation for such trips by various means (plane, bus, train, car pool, etc.) at Dreams of Hope’s expense. Other than for such trips, I will be personally responsible for transportation to and from activities, and that transportation is not being provided by Dreams of Hope. If I accept a ride from another person, that person is acting solely in his or her own capacity and not as a representative, agent or servant of Dreams of Hope.

I have a copy of the season schedule and understand the commitment needed to be a part of Dreams of Hope. I understand that if I miss three rehearsals I will not be in the January performance. I understand that being late or leaving rehearsal early two times will be treated the same way as missing one rehearsal. For each absence, I understand I will forfeit $10 of my $100 stipend for the January performance

I also understand that I must be at the rehearsal preceding a gig to be in that performance.

I have read the rules listed above and agree to abide by them. I understand that failure to abide by these rules may lead to my being prohibited from participation in the group.

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Youth Participant’s NameAge

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Youth Participant’s SignatureDate

Emergency Info/Contact 1:

Name: Relation:

Phone: Email:

Emergency Info/Contact 2:

Name: Relation:

Phone: Email:

Any known allergies or medical needs:

PLEASE SEE NEXT PAGE FOR PARENT/LEGAL GUARDIAN PERMISSION FOR PERFORMERS UNDER AGE 18.

If youth participant is not at least 18 years of age, a parent or legal guardian most complete the following section and have his/her signature notarized.

I hereby certify that I am the custodial parent or legal guardian of the above-mentioned minor and that I hereby authorize the minor’s participation in the group. I have reviewed the foregoing commitments by the above-mentioned minor and I hereby agree that (i) such commitments are reasonable and appropriate as conditions to the above-mentioned minor’s participation in the group, (ii) I will be bound by such commitments, and (iii) I will make a reasonable effort to ensure that the above-mentioned minor adheres to such commitments. I understand that this group celebrates the diversity of its participants: racial, color, ethnic or religious backgrounds, gender identity, sexual orientation, national origin, and different abilities.

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Parent / Guardian’s Name

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Parent / Guardian’s SignatureDate

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Phone NumberEmail

Are you interested in opportunities to help with events (carpool/chaperone/etc)? YESNO

May we share your contact info with other parents in the group? YESNO