ࡱ> KMJq` .bjbjqPqP 5;::^FFFF<d 2 N@@@@l8$ hP#9@@QQQ@@QQQQ@ HFQ  02 Q#T#Q#Q0Q;2    THEATRICAL PERMIT APPLICATION Date(s) of Program FORMTEXT       Name of Minor  FORMTEXT       Age FORMTEXT       Years OldSex FORMCHECKBOX  Male  FORMCHECKBOX  Female Names of Parents:Mother FORMTEXT       Father FORMTEXT       Name of School Attending FORMTEXT       Name of Performance FORMTEXT       Name of Place of Performance FORMTEXT       Address FORMTEXT       Please provide a brief description of the production and how the Minor will be involved  FORMTEXT        FORMTEXT       Name of Manager or Agent of Minor Performer  FORMTEXT       Name (printed) Address FORMTEXT      Phone Number: FORMTEXT      Fax Number: FORMTEXT      E-mail:<>dfh|~ & ( * F ʺʧʺʄnʺ[nʺ%jhpAOJQJU^JaJ$*jhpAOJQJU^JaJ$mHnHu%jhpAOJQJU^JaJ$jh@(OJQJU^JaJ$%jhpAOJQJU^JaJ$jhpAOJQJU^JaJ$hpAOJQJ^JaJ$hpAOJQJ^JaJhpA>*CJOJQJ^JaJ ha+hpACJ hpACJ "<>@fJkd~$$Ifl0L ( b)4 la$If$a$gda+ . 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