3rd and 4th Grade Registration

for the Junior Players

2026 Summer Program

IMPORTANT NOTE! Registration for this age group is officially FULL.

However, you may fill out this form anyway if you'd like to be on the wait list.

Important Information:

GENERAL INFORMATION:

Grades 3rd thru 9th (as of Sept. 2026)

Monday - Friday 9:00 am to 1:00 pm beginning Monday, June 22, 2026

Performances on July 17th at 7:00 pm and July 18th at 2:00 pm

WHERE:

Rehearsals: June 22rd to July 10th at Main Street Center for the Arts,

124 S. Pomperaug Ave. Woodbury

Last week of rehearsals and performances:

July 13th to July 17th meets at Pomperaug HS or Nonnewaug HS

(pending venue contracts)

Performances July 17th & 18th Pomperaug HS or Nonnewaug HS

(pending venue contracts)

DATES OF CONFLICT:

The program runs only 4 weeks. We encourage 100% attendance. It is imperative that we know in advance if your child will be missing any dates from the program to best cast the show and plan rehearsals accordingly.

List all date conflicts here. Write "N/A" if none: *

T-SHIRTS:

The registration fee INCLUDES a Junior Players show t-shirt!

Size *

Youth

Adult

I understand that there are no program refunds after June 1st, 2026. *

Yes

By signing below, I confirm that I accept these terms and acknowledge my understanding.

Signature *

Clear

PARTICIPANT INFORMATION:

*Please fill out a separate form for each child.

For sibling discount, email [email protected]

Performer's First Name *

Performer's Last Name *

Date of birth *

Grade as of Fall 2026 *

3rd

4th

Address

Street Address *

City *

State *

Postal code *

CONTACTS:

Mother/Guardian:

Mother/Guardian's Full Name *

Mother/Guardian's Phone *

Mother/Guardian's Email *

Father/Guardian:

Father/Guardian's Full Name *

Father/Guardian's Phone *

Emergency Contact (Other than parent/guardian):

Emergency Name/Relation *

Emergency Phone *

MEDICAL RELEASE:

I authorize all representatives of Newbury Musical Theatre to act in my behalf for the purpose of obtaining emergency medical treatment for the registrant *

Yes

In case of an emergency, which hospital do you prefer? *

Is the registrant adequately covered by an accident/health insurance policy? *

Yes

If yes, what insurance company?

If yes, what policy number?

Allergies/Medical Conditions/Medications? *

CONSENT FORM AND LIABILITY WAIVER:

I/We, the parents/guardian give our permission for our child to participate in the Newbury Musical Theatre Company (“NMTC” ) program and performances, events and/or

productions (“production”). I/We also give our permission for NMTC to use the likeness of our child in photographs or advertisements related to NMTC or NMTC productions.

I agree that my child will abide by all rules and regulations reasonably adopted in connection with NMTC, any production and the use of the facilities provided for NMTC programs or productions. I understand that the failure of my child to observe these rules and regulations may result in my child being excluded from the program or from participation in any production.

I agree to waive any and all claims of any kind whatsoever, whether resulting from an injury or otherwise, and further agree to release, indemnify and hold the NMTC, its employees, contractors, volunteers, officers, directors, and representatives harmless from and against any and all liability arising out of or relating to my child’s participation in NMTC programs or any production.

I further understand that NMTC assumes no liability for lost, misplaced stolen and/or damaged property and I hereby agree to release NMTC from such liability.

Parent/Guardian Signature *

Clear

I consent to receive SMS Notifications, Alerts & Occasional Marketing Communication from Newbury Musical Theatre. Message frequency varies. Message & data rates may apply. You can reply STOP to unsubscribe at any time.

*If you chose to pay by check, you will not be redirected to a confirmation screen, please check your email for confirmation of submission.