Please complete this form only after your child has been accepted to the program. Selections will be announced by December 13.

Parent / Guardian Information

In an emergency I may be contacted at:

Student Information


Parent / Guardian: I hereby give permission for my daughter to participate in the Russell Sage College Theatre Honors Weekend on January 24-25, 2020 and agree not to hold the College responsible for any injuries and/or illnesses incurred on this trip.

Parent / Guardian: I agree that in the event of an injury that the chaperone in charge of this campus visitation may act on my behalf in obtaining medical treatment for my child.

Student: I agree to comply with Russell Sage College Policies and Procedures.