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