KHS Acting & Musical Theatre Clinic

KHS Theatre Acting and Musical Theatre Clinic

**********PLEASE READ**********

DATE: Saturday, April 5th

TIMES: 9:00am – 3:00pm and a performance at one of the KHS Varsity Theatre Musical Revue shows (May 8th – 10th)

COST: $65

GRADES:1st-8th

We are so excited to offer a spring musical theatre clinic this year at Kingwood High School for young performers! This one-day acting, dancing and vocal clinic with the KHS Theatre Directors and students will culminate in a performance number featuring a hit musical song at the KHS Varsity Theatre Musical Revue! Grades will be separated into two to four groups and each group will perform their number at one of the show performances.

*Students will be taking classes in acting, voice, dance, and auditions, all tailored to their age group. Students will be working on skills to help them gain confidence in performing in front of others and develop a love of theatre!

DAILY SCHEDULE:

8:45am: Dropoff

9:00-11:30am: Show Rehearsals

11:30am-12:00pm: Lunch

12:00-3:00pm: Classes

DROP OFF:

On the morning of the clinic, parents will be required to sign their student in.

FOOD:

Students should pack a lunch for the clinic. Light snacks will be provided, and students can also bring money to purchase treats from our concession stand. Please make sure to indicate any allergies or food restrictions on your registration form.

WHAT TO BRING TO THE CLINIC:

Notebook and pen for notes (grades 4-8)
Reusable water bottle
Packed lunch
Attire you can dance in with warm-ups over
Comfortable clothes and closed-toe shoes
Hair ties to keep hair back

TSHIRT

All participants will receive a KHS Varsity Theatre Musical Revue shirt as a souvenir from the clinic and their performance in the show! You will pick your child’s t-shirt size on the registration form.

FINAL PERFORMANCE

All participants will have the opportunity to perform the number they learn during the clinic at one of the KHS Varsity Theatre Musical Revue. They will perform at 7:00pm on Thursday (May 8th) or Friday (May 9th) or either 2:00pm or 7:00pm on Saturday (May 10th). Performance groups and dates / times will be announced at the clinic. Information about purchasing tickets to the show will be announced at the clinic.

Additional information coming after the registration period closes!

*This one-day clinic is specifically for performers and does not include technical theatre classes. Tech classes will be taught during the KHS Theatre Summer Camp in June. Stay tuned for more information about the KHS Theatre 2025 Summer Camp!

Please contact Camee Faulk with any questions!

Camee Faulk

Head Theatre Director

Kingwood High School

camee.faulk@humbleisd.net

Item Description Price Qty

KHS Acting and Musical theatre clinic more

KHS Theatre Acting and Musical Theatre Clinic

**********PLEASE READ**********

DATE: Saturday, April 5th

TIMES: 9:00am – 3:00pm and a performance at one of the KHS Varsity Theatre Musical Revue shows (May 8th – 10th)

COST: $65

GRADES:1st-8th

DAILY SCHEDULE:

8:45am: Dropoff

9:00-11:30am: Show Rehearsals

11:30am-12:00pm: Lunch

12:00-3:00pm: Classes

DROP OFF:

On the morning of the clinic, parents will be required to sign their student in.

FOOD:

WHAT TO BRING TO THE CLINIC:

Notebook and pen for notes (grades 4-8)
Reusable water bottle
Packed lunch
Attire you can dance in with warm-ups over
Comfortable clothes and closed-toe shoes
Hair ties to keep hair back

TSHIRT

FINAL PERFORMANCE

Additional information coming after the registration period closes!

Please contact Camee Faulk with any questions!

Camee Faulk

Head Theatre Director

Kingwood High School

camee.faulk@humbleisd.net

$65.00

Tshirt size: : YS
YM
YL
AS
AM
AL
AXL

YS #1	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:	copy
YS #2	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YS #3	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YS #4	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YS #5	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YS #6	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YS #7	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YS #8	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YS #9	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #1	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:	copy
YM #2	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #3	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #4	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #5	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #6	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #7	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #8	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YM #9	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #1	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:	copy
YL #2	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #3	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #4	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #5	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #6	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #7	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #8	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
YL #9	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #1	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:	copy
AS #2	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #3	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #4	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #5	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #6	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #7	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #8	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AS #9	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #1	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:	copy
AM #2	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #3	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #4	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #5	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #6	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #7	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #8	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AM #9	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #1	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:	copy
AL #2	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #3	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #4	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #5	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #6	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #7	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #8	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AL #9	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #1	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:	copy
AXL #2	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #3	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #4	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #5	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #6	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #7	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #8	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:
AXL #9	Participants grade level for the 2024-2025 school year: Participant allergies: Participant Last Name: Participant First Name: Participant Gender: Parent Name (first & last): Parent email: Parent Phone Number: Emergency Contact Name (First & Last): Emergency Contact Phone Number: Names of people allowed to pick up my child from the clinic: Participant Medical Conditions:

Publicity Release

By participating in the KHS Theatre Camp, I agree to allow Kingwood Theatre to use my child's name and likeness in publicity materials associated with Kingwood Theatre.

Please Sign Here

I, the undersigned, being the individual, parent, or legally authorized guardian of the student listed above, agree to hold the Humble Independent School District, its Board of Trustees, Administration, and/or Faculty, harmless from all liability for any injuries which my child may receive while participating in any recreational activities or utilizing the Humble ISD facilities. I herewith authorize the Director, supervisor, staff member, and/or district employee to secure medical services for any family member if necessary, and I agree to pay, either directly or through my own personal health and accident insurance policy, all medical or hospital costs. Typing your name in the box below will serve as your signature stating that you agree to the above statement.

KHS Acting & Musical Theatre Clinic

KHS Theatre
2701 Kingwood Drive
Kingwood, TX 77339

KHS Theatre Booster Club
P.O. Box 5735
Kingwood, TX 77325
khstheatreboosters@gmail.com

KHS Acting & Musical Theatre Clinic

KHS Theatre 2701 Kingwood Drive Kingwood, TX 77339

KHS Theatre Booster Club P.O. Box 5735 Kingwood, TX 77325khstheatreboosters@gmail.com

KHS Theatre
2701 Kingwood Drive
Kingwood, TX 77339

KHS Theatre Booster Club
P.O. Box 5735
Kingwood, TX 77325
khstheatreboosters@gmail.com