COVID 19 Form

Any public location where people are present provides an inherent risk of exposure to COVID-19, an extremely contagious disease that may have serious, even fatal, health consequences. By attending programming at Florida Children’s Theatre, you voluntarily assume all risks related to exposure to COVID-19.
Student Details
Name*
First Middle Last
Parent/Guardian Name*
First Middle Last
Parent / Guardian Signature*

Student Signature (if over 18 years)
Date
Name
This field is for validation purposes and should be left unchanged.

Student Details