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Moscow Ballet "Great Russian Nutcracker"

Consent and Release Form 2002

In consideration of the permission I hereby grant to my son/daughter, (print child's name)

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to participate in the activities of Moscow Ballet associated with his/her opportunity to audition, rehearse or perform with Moscow Ballet during the 2002 Nutcracker season at the Thalia Mara Hall, Jackson, Mississippi, I hereby authorize NUT 2002 Inc., Moscow Ballet, and those persons designated by Moscow Ballet to supervise said activities and to exercise such judgment and control over my child as they deem necessary while he/she is engaged in auditions, rehearsals and performances.

I hereby release and discharge NUT 2002 Inc, SMI Inc., Moscow Ballet, their officers, employees, agents and representative from all claims which the undersigned has, or may have for any injury, loss, or damage which my child may sustain by participating in such activities.

I understand my son/daughter must attend all auditions, rehearsals and performances scheduled by Moscow Ballet during this 2002 season. I understand the audition, rehearsal and performance policies of Moscow Ballet.

I further agree that in all matters requiring parental or guardian consent or permission regarding my child while engaged in said activities, members of the artistic staff of Moscow Ballet and their local coordinators shall have authority to represent the undersigned.

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Signature—parent or legal guardian

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Print name of signature

Child's name:___________________________________________________________

Home address: _________________________________________________________

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Date