image
Second Stage '12 Registration Form for
The Odd Couple

Fee:  $25

Contact Annette at (856) 778-8357 or
email
Annette@MoorestownTheaterCompany.org
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.

 

I acknowledge reading each of the above items, I understand each of them, and I by clicking on the box below, I agree to abide by each of them.

Participant's Information

Support Moorestown Theater Company

If you like what MTC does, and agree that our goal to be the theater company “where families have fun performing musical theater together” is important, then please consider supporting MTC  by making a donation. The beauty of making a cash gift is that it can never be the wrong size or color!  Your gift to MTC, a 501(c)(3) non-profit organization, is tax-deductible.  Your name will be listed in our "Broadway Circle Of Friends" in all of our show Programs and in our Annual Report.
Donation Options
Angel ($2,500+)        Benefactor ($1,000+)        Producer ($500+)        Director ($250+)
Star ($100+)        Ensemble ($50+)        Chorus (25+)

Payment Information

* Indicates Response Required