High School Apprentice Application 2020/21 Student InformationStudent Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Student Cell Phone/Home Phone*Student Email* School*Grade Level in 2020/21*Select one1112Vocal Part*Select oneSopranoAltoTenorBassStudent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian Name* First Last Parent/Guardian Name First Last Medical ReleaseEmergency Contact #1 Name* First Last Emergency Contact #1 E-mail* Enter Email Confirm Email Relationship to student*Cell Phone*Alt. PhoneEmergency Contact #2 Name First Last Emergency Contact #2 E-mail Relationship to studentCell PhoneAlt. PhoneMedical Conditions we should know about including food/drug allergiesMedications being takenOther informationI hereby give permission for Madison Opera staff to administer medical treatment to and/or transport my child to a local hospital in the event of any accident, injury or sickness.Parent/Guardian Name* First Last Parent/Guardian Signature*Consent and ReleaseWe hereby consent to participate in the Madison Opera High School Apprentice Program. We release and discharge Madison Opera and all of its employees, agents, volunteers, and any other persons or organizations (the "Releasees") associated with the high School Apprentice Program from any and all claims, rights of action and causes of action for damages of any nature we may have, both compensatory and punitive, which arise out of participation in the High School Apprentice Program. This includes damages or losses that are caused by, and arise out of, the negligence of the Releasees. We have read this Consent and Release . It is intended to be a prospective waiver of all claims of any nature we have against those released. By signing this Consent and Release, we have full knowledge that the Releasees will not be liable to us, nor will we be compensated, for personal injuries or any other damages sustained while participating in the Program.Parent/Guardian Name* First Last Parent/Guardian Signature*Student Name* First Last Student Signature*Permission to Photograph/Record*My child may be photographed/recordedMy child may not be photographed/recordedI here by give permission for my child to be photographed and/or recorded as a participant in Madison Opera's High School Apprentice Program, and for said photographs/recordings to be used to promote Madison Opera.I hereby decline permission for my child to be photographed and/or recorded as participant in Madison Opera's High School Apprentice Program.Parent/Guardian Name* First Last Parent/Guardian Signature*Cover Letter (1-2 pages)Your cover letter should address the following points: 1. What do you hope to gain from participating in the High School Apprentice Program? 2. Describe your prior experiences, if any, with music and/or theatre, both on and off stage. 3. What are your future education and/or career plans? 4. What fields of music and/or theatre (performance, management, lighting, costumes, etc.) interest you the most and why?Cover Letter Upload*Accepted file types: docx, doc, pdf.Please upload your cover letter as a .PDF or word documentBackground and ExperiencePlease upload a resume highlighting your music and/or theatre background. Include the following information: 1. Current and previous music and/or theatre activities, in and out of school. 2. Awards and special recognition. 3. Relevant coursework and other skills.Resume Upload*Accepted file types: docx, doc, pdf.Please upload your resume as a .PDF or word documentPhoneThis field is for validation purposes and should be left unchanged.