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Please submit an On-Line School Application before submitting this form to the Program Director of your area’s Cappies Program. All required forms may be downloaded and printed, from the “Rules and Forms” page of the Cappies Web Site, www.cappies.com. |
School Name: ____________________________________________ Program Year: ____________
Two-Letter School Code: ____________
Parental Authorization Forms:
_____ No student will be accepted on the Roster, or allowed to be a Critic at a Cappies Show, until a Parental Authorization Form has been received, for that Critic, by a Cappies program official.
_____ Parental Authorization Forms for the following critic will be (or has been) submitted separately:
_____________________________________________________________________________
_____________________________________________________________________________
Affirmation:
_____ A signed Affirmation is included with this Application, for every Mentor who is not currently employed as a teacher or administrator at the Participating School, or in a school system that includes a participating school.
Participation Fee:
The Participation Fee may vary, depending on the Cappies Program and extent of a school’s participation.
School Participation Fee Enclosed: $________.______
Critic Participation Fee Enclosed: $________.______
Agreement to Follow Rules:
_____ All Participants from this Participating School – including the Theater Director and/or other Authorizing Teacher, Mentor(s), and critics – agree to follow all Cappies rules and procedures.
_____________________________________ __________________________
Signature of Advisor Date
_____________________________________ __________________________
Name of Advisor (please print) Position in School
_____________________________________ __________________________
Signature of Principal of Head of School Date