| First Name | Last Name | Email (this will be added to the Internal Producer email list for all play announcements). | Phone | Grade | List names and grades of your children (grade 12 or under) that are in the show (this will help with casting and ensure everyone has an adult signed up). | Emergency Contact #1 | Emergency Contact #1 Phone | Emergency Contact #1 Relationship to Player | Emergency Contact #2 | Emergency Contact #2 Phone | Emergency Contact #2 Relationship to Player | Medical conditions, allergies, or medications | Doctor Name | Doctor Phone | Dentist Name | Dentist Phone | Select any jobs you are interested in doing (grade 6-12 are NOT required to have a job in addition to acting.) | Select your first choice job | Select your second choice job (do not select first choice job) | Select your third choice job (do not select first or second choice jobs) | Waiver of Liability | Code (do not enter unless directed by an Internal Producer) | Registration Fee | Fees Waived | Credit Card | Entry ID |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ryan | Matthews | ryan@mrrsm.com | (586) 913-1251 | Adult | Amber | (734) 480-8487 | S/O | Cindy | (586) 219-6337 | Mother | N/A | N/A | (000) 000-0000 | N/A | (000) 000-0000 | Pianist | Pianist | Pianist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6886 MasterCard | View Form | ||||
| Joshua | Joshua Kahn | josh.s.kahn@gmail.com | (603) 479-9148 | Adult | Sam Marks | (240) 599-6948 | SO | Larry Kahn | (603) 490-7476 | Dad | None | -- | (555) 555-5555 | -- | (555) 555-5555 | Pianist | Pianist | Pianist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3338 MasterCard | View Form | ||||
| Kate | Meader | 2335kam@gmail.com | (734) 709-9417 | 10 | Ellen Meader | (734) 262-4116 | Mom | Rick Meader | (734) 576-5355 | Dad | Amoxicillin | Monica Montemayor | (734) 769-3896 | Donald Wennerstern | (734) 668-9988 | Props Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6671 MasterCard | View Form | ||||||
| Lawrence | Krass | LKRASS100@gmail.COM | (734) 645-6755 | Adult | Band / Drummer (not in Job list below) | Karen Smith | (734) 645-6755 | Spouse | Ian Krass | (734) 649-8642 | Son | none | Dr. Bogan | (734) 647-5650 | Dr. Dill | (734) 663-0100 | Advertising and Publicity | Backdrop Puller | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7453 MasterCard | View Form | |||
| Ryoma | Fletcher-Suzuki | funkyfatwinkerbean@gmail.com | (734) 391-9569 | 11 | Mari Suzuki | (734) 353-0768 | Mother | Douglas Fletcher | (734) 528-0671 | Father | None | Dr. Allison Dickson | (734) 647-5680 | Dr. Wennersten | (734) 668-9988 | Backdrop Puller Curtain Puller Pianist Props Set Painting and Building Sewing Spot Lights Stage Crew Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4461 Visa | View Form | ||||||
| Cornelia | Wende | cornelia_wende@hotmail.com | (734) 239-1172 | Adult | Yvonne Stevens | (734) 883-9989 | friend | Thomas Becker | (734) 709-3891 | husband | none | Betcher | (734) 001-0202 | Great Expression | (734) 677-0793 | Pianist | Choreographer | Pianist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8379 Visa | View Form | ||||
| Nathan | Johnson | nathan@davidj.org | (734) 864-2078 | Adult | David Johnson | (330) 998-5597 | Father | Kirsten Johnson | (330) 998-5617 | Mother | Non-airborne, non-contact, and non-severe peanut allergy. | Cannot Remember | (734) 369-8768 | Unsure on this as well | (330) 998-5999 | Sound | Stage Crew | Lights | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3114 Visa | View Form | ||||
| Barbara | Zaret | bgzaret@comcast.net | (734) 665-2141 | Adult | None | Phil Zaret | (734) 665-2141 | spouse | Mary Bleyaert | (734) 330-7164 | Friend | None | Tendai Thomas, MD | (734) 995-0303 | Kevin Schmidt | (734) 761-7830 | Props | Prompter | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2876 MasterCard | View Form | |||
| Philip | Zaret | pmzaret@comcast.net | (734) 665-2141 | Adult | N/A | Barbara Zaret | (734) 678-3203 | Spouse | Mary Bleyaert | (734) 330-7164 | Friend | Seasonal allergies, high blood pressure, 7349947446 | Mark Oberdoerster | (734) 994-7446 | Kevin Schmidt | (734) 761-7830 | Set Painting and Building | Stage Crew | Graphic Designer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2876 MasterCard | View Form | |||
| Dick | Vail | dvail65@gmail.com | (734) 277-2292 | Adult | Ann Mann | (734) 663-3883 | partner | Stephanie Vail | (734) 981-8719 | Sister | None | Paul Fine | (734) 936-5582 | Tim McIntosh | (734) 276-7729 | Stage Crew | Stage Crew | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7182 Visa | View Form | ||||
| Amanda | Ryan | amandaryan123@hotmail.com | (734) 883-6050 | Adult | Joey - Grade 11 Lila - Grade 8 | Tony Ryan | (734) 926-9885 | Husband | Joey Ryan | (734) 747-3528 | Son | None | Elizabeth Shih | (734) 647-5640 | Excel Dental | (734) 929-9999 | Choreographer | Choreographer | Choreographer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0747 MasterCard | View Form | |||
| Adeola | Adefeso | lolaa@umich.edu | (734) 763-7807 | Adult | Adeola Adefeso - Fifth Grade | Kay Adefeso | (734) 972-6692 | Husband | Eunice | (734) 773-5445 | Mom | None | Micheleen Hashikawa, MD | (734) 647-5640 | UM Dental Faculty Associate | (734) 764-3155 | T-shirt Distribution | Set Painting and Building | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3005 American Express | View Form | |||
| Patrick | Cho | patrickpenguin@yahoo.com | (734) 358-4593 | Adult | Caitlinn (8) and Nathalie (10) | Patrick Cho | (734) 358-4593 | Father | Suzanne Cho | (734) 358-4592 | Mother | None | Dr. Paul Fine | (734) 936-5582 | Dr. Kristin Johnson | (734) 665-0481 | Set Painting and Building | Yard Sign/Poster Distributor | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1005 American Express | View Form | |||
| Bob | Fox | foxwriter7@hotmail.com | (313) 952-3185 | Adult | Lillian Fox 1st grade | Ellen schtz | (734) 223-0437 | Wife | Annette fox | (248) 565-5701 | Mom | None | Eric straka | (734) 994-7446 | Gary bloomfield | (734) 971-2310 | Advertising and Publicity | Yard Sign/Poster Distributor | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7626 Visa | View Form | |||
| Ellen | Schultz-Fox | schultz@aaps.k12.mi.us | (734) 223-0437 | Adult | Lillian Fox 1st Grade | Ellen Schultz-Fox | (734) 223-0437 | Me | Bob Fox | (313) 952-3185 | Husband (Dad to Lillian) | none | IHA Family medicine | (734) 971-1188 | Gary Bloomfield | (734) 971-2310 | Ticket and Concessions Sales | Yard Sign/Poster Distributor | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7626 Visa | View Form | |||
| Meenu | Baxendale | meenub@umich.edu | (734) 678-7829 | Adult | Sitara Baxendale, 9th grade | Praveena Ramaswami | (734) 223-5101 | friend | Shana Barnett | (734) 678-3169 | friend | none | Sara Hashemian | (734) 994-7446 | Excel Dental | (734) 929-9999 | T-shirt Distribution | Choreographer | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1005 American Express | View Form | |||
| Min | Kim | kyungee93@gmail.com | (734) 358-1396 | Adult | Stephen Cheon 2nd grade | Youngsam Cheon | (440) 554-2536 | Husband | Jeachang Chon | (330) 268-4634 | Father in lower | None | Young-ae Yoon | (734) 844-5400 | Ven Kim | (440) 552-5627 | Set Painting and Building | Child Room Supervisor | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX5656 Visa | View Form | |||
| Beth | Grzelak-Lee | bethgrzelak@gmail.com | (734) 945-6519 | Adult | Sophia Lee - 6th grade | David Lee | (248) 980-7779 | Spouse | James & Theresa Grzelak | (810) 623-8365 | Parents | None | Dr. Christine Krause | (734) 647-5640 | Dr. Jay Nitzkin | (734) 427-7555 | T-shirt Distribution | Prompter | Curtain Puller | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8105 Visa | View Form | |||
| Lin | Wang | lwzhang2014@gmail.com | (734) 747-4637 | Adult | Jenny Zhang,3rd grade | Jinying Zhang | (734) 272-6884 | hUSBAND | Xinna Li | (734) 707-5316 | Friend | healthy, no allergies and medications | Kristina Kile | (734) 764-8320 | Yan Wang | (734) 975-0100 | Child Room Supervisor | Yard Sign/Poster Distributor | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0111 Visa | View Form | |||
| Camille | Svoboda | 3littlebirds7610@gmail.com | (734) 717-6778 | 6 | Margaret Svoboda | (734) 717-6778 | Mom | Jon Svoboda | (734) 678-4020 | Dad | None | Dr. Brenner | (734) 434-3000 | Whitaker Road Dental | (734) 480-3600 | Cast Refreshments Crew Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6889 Visa | View Form | ||||||
| Elizabeth | Redinger | cynthiaredinger@gmail.com | (734) 213-2643 | 4 | Cynthia Redinger | (734) 657-8793 | mother | Craig Redinger | (734) 277-4934 | father | none | Liberty Pediatrics | (734) 994-5858 | Dina Coco | (734) 668-8636 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1819 MasterCard | View Form | ||||||||
| Andrew | Redinger | cynthiaredinger@gmail.com | (734) 213-2543 | 6 | Cynthia Redinger | (734) 657-8793 | mother | Craig Redinger | (734) 277-4934 | father | none | Liberty Pediatrics | (734) 994-5858 | Dina Coco | (734) 668-8636 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1819 MasterCard | View Form | ||||||||
| Cora | Williams | marcellacw249@gmail.com | (317) 506-9843 | 6 | Marcella Williams | (734) 929-7098 | mother | Tonya Saragoza | (734) 929-7098 | aunt | none | Dr. Helms | (734) 232-2600 | Ann Arbor Pediatric Dentistry | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1589 MasterCard | View Form | ||||||||
| Marcella | Williams | marcellacw249@gmail.com | (317) 506-9843 | Adult | Cora | Josh Williams | (317) 513-9534 | husband | Tonya Saragoza | (734) 929-7098 | sister | none | Briarwood Medical Group | (734) 998-7207 | Enspire | (734) 663-6777 | Make-up Artist | Make-up Artist | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1589 MasterCard | View Form | |||
| Leo | Saragoza | saragozat@milanareaschools.org | (734) 929-7098 | 1 | Tonya Saragoza | (734) 929-7098 | mother | Philip Saragoza | (734) 657-8965 | father | none | Dr Helms | (734) 232-2600 | Ann Arbor Pediatric Dentistry | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | WAIVER19 | $ 0.00 | View Form | |||||||
| Alex | Saragoza | saragozat@gmail.com | (734) 929-7098 | 1 | Tonya Saragoza | (734) 929-7098 | mother | Philip Saragoza | (734) 657-8965 | father | none | Dr. Helms | (734) 232-2600 | Ann Arbor Pediatric Dentistry | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | WAIVER19 | $ 0.00 | View Form | |||||||
| Xavier | Saragoza | saragozat@gmail.com | (734) 929-7098 | 3 | Tonya Saragoza | (734) 929-7098 | mother | Philip Saragoza | (734) 657-8965 | father | none | Dr. Helms | (734) 232-2600 | Ann Arbor Pediatric Dentistry | (173) 466-3249 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | WAIVER19 | $ 0.00 | View Form | |||||||
| Dani | Macorkindale | grumpycatmac@comcast.net | (734) 431-0611 | 9 | John Macorkindale | (734) 223-8324 | Father | Becki Macorkindale | (734) 717-8814 | Mother | Non Life threatening allergies to: dog/cat/horse/etc dander, some trees, mold and dust mites. | Heather Burrows | (734) 647-5680 | Salwa Atwan | (734) 414-9554 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3530 MasterCard | View Form | ||||||||
| Caterina | Hart | catie.hart14@gmail.com | (248) 982-7859 | 10 | Connie Hart | (248) 982-7859 | mother | Nancy Radwan | (734) 476-4835 | aunt | NA | Melissa Heinen | (734) 455-4600 | Shannon Norman-Kotre | (734) 677-2156 | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9337 MasterCard | View Form | |||||||
| Connie | Hart | conniehart14@gmail.com | (248) 982-7859 | Adult | NA | Ed Radwan | (734) 476-7952 | brother | Nancy Radwan | (734) 476-4835 | sister in law | none | Jeri Spencer | (989) 640-4038 | Shannon Norman-Kotre | (734) 677-2156 | Costume Coordinator | Costume Coordinator | Costume Coordinator | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX9337 MasterCard | View Form | |||
| Tonya | Saragoza | saragozat@gmail.com | (734) 929-7098 | Adult | Xavier, Alex, Leo | Phil Saragoza | (734) 657-8965 | Husband | Marcella Williams | (317) 506-9843 | Sister | None | Dr O Connor | (734) 998-7207 | Enspire | (173) 466-3677 | Make-up Artist | Make-up Artist | Child Room Supervisor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1589 MasterCard | View Form | |||
| John | Macorkindale | jmacorkindale@comcast.net | (734) 223-8324 | Adult | Dani Macorkindale 9th | Becki Macorkindale | (734) 717-8814 | wife | Kaye Cannizzaro | (313) 575-7174 | sister | Heart Stents (2) | David Alvarez | (734) 647-5640 | Nicole Meadows | (248) 855-3655 | Curtain Puller | Yard Sign/Poster Distributor | Advertising and Publicity | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3530 MasterCard | View Form | |||
| Jill | Shannon | Shannoj@gischools.org | (734) 771-4425 | Adult | Lillian Shannon Evelyn Shannon | Rob Shannon | (313) 418-0287 | husband | Amy Creten | (734) 649-8941 | Friend | None | Dr. Amy Cooke | (734) 771-4425 | Dr. Elizabeth Barber | (734) 771-4425 | Child Room Supervisor | Make-up Artist | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | WAIVER19 | $ 0.00 | View Form | |||
| Evelyn | Shannon | Shannoj@gischools.org | (734) 771-4425 | 2 | Jill Shannon | (734) 771-4425 | Mother | Rob Shannon | (313) 418-0287 | Father | None | Dr. Amy Cooke | (734) 769-3896 | Dr. Elizabeth Barber | (734) 971-3368 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | WAIVER19 | $ 0.00 | View Form | |||||||
| Rita | Simpson-Vlach | ritasv@mailbox.org | (734) 882-2992 | Adult | Andrew Simpson-Vlach, 5th grade Marguerite Simpson-Vlach, 2nd grade | Alan Simpson-Vlach | (216) 376-4805 | Spouse | Dee Simpson-McGuire | (563) 249-3192 | Mother | N/A | Unk | (734) 882-2992 | 734-882-2992 | (734) 882-2992 | Cast Refreshments Crew | T-shirt Distribution | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9174 Visa | View Form | ||||
| Lillian | Shannon | Shannoj@gischools.org | (734) 771-4425 | 7 | Jill Shannon | (734) 771-4425 | mother | Rob Shannon | (313) 418-0287 | Father | None | Dr. Amy Cooke | (734) 769-3896 | Dr. Elizabeth Barber | (734) 971-3368 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | WAIVER19 | $ 0.00 | View Form | |||||||
| Marguerite | Simpson-Vlach | ritasv@mailbox.org | (734) 882-2992 | 2 | Rita Simpson-Vlach | (734) 882-2992 | Mother | Alan Simpson-Vlach | (216) 376-4805 | Father | N/A | Unk | (734) 882-2992 | 734-882-2992 | (734) 882-2992 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9174 Visa | View Form | ||||||||
| Andrew | Simpson-Vlach | ritasv@mailbox.org | (734) 882-2992 | 5 | Rita Simpson-Vlach | (216) 496-3951 | Mother | Alan Simpson-Vlach | (216) 376-4805 | Father | N/A | Unk | (734) 882-2992 | Unk | (734) 882-2992 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9174 Visa | View Form | ||||||||
| Jennifer | Ziegler | jklawson@comcast.net | (734) 646-1848 | Adult | Fiona Ziegler, 3 | Ron Ziegler | (313) 805-2814 | husband | Jennifer Ziegler | (734) 646-1848 | wife | none | Jill Schneiderhan | (734) 647-5640 | Matthew Schaub | (734) 761-1194 | Child Room Supervisor | T-shirt Distribution | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2161 MasterCard | View Form | |||
| Lee | Bonevich | willen.bonevich@gmail.com | (734) 945-4654 | 9 | Nikki Bonevich | (734) 717-6085 | Mother | Jeff Bonevich | (734) 678-7242 | Father | NA | Phil Rodgers | (734) 998-7390 | Ray Maturo | (734) 663-2490 | Lighting Assistant | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1971 Visa | View Form | ||||||
| Fiona | Ziegler | jklawson@comcast.net | (734) 646-1848 | 3 | Jennifer Ziegler | (734) 646-1848 | mother | Ron Ziegler | (313) 805-2814 | father | none | Frances Youssef | (734) 769-3896 | Matthew Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2161 MasterCard | View Form | ||||||||
| Vivianna | Hoffman | deannahoffman@comcast.net | (734) 662-3825 | 7 | Steve Hoffman | (313) 995-7022 | Dad | Deanna Hoffman | (734) 395-7274 | Mom | None | Frances Youssef | (734) 769-3896 | Sandra Shrimankar | (734) 929-9999 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8298 Visa | View Form | ||||||||
| Audrey | Hoffman | deannahoffman@comcast.net | (734) 662-3825 | 10 | Steve Hoffman | (313) 995-7022 | Dad | Deanna Hoffman | (734) 395-7274 | Mom | None | Frances Youssef | (734) 769-3896 | Sandra Shrimankar | (734) 929-9999 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8298 Visa | View Form | ||||||||
| Steve | Hoffman | shoffm15@ford.com | (313) 995-7022 | Adult | Deanna Hoffman | (734) 395-7274 | Wife | Jeannette Patterson | (734) 476-8844 | Sister | None | Dorian Moore | (734) 995-0303 | Sandra Shrimankar | (734) 929-9999 | Set Painting and Building | Props | Lights | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8298 Visa | View Form | ||||
| Deanna | Hoffman | deannahoffman@comcast.net | (734) 395-7274 | Adult | Steve Hoffman | (313) 995-7022 | Husband | Jeannette Patter | (734) 476-8844 | Sister-in-law | None | Dorian Moore | (734) 995-0303 | Sandra Shrimankar | (734) 929-9999 | Prompter | Sewing | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8298 Visa | View Form | |||||
| Libbie | Bonevich | libbie.bonevich@gmail.com | (734) 834-8487 | 12 | Nikki Bonevich | (734) 717-6085 | Mother | Jeff Bonevich | (734) 678-7242 | Father | Estrodiol somatropin fluoxedine trazadone | Phil Rodgers | (734) 998-7390 | Ray Maturo | (734) 663-2490 | Lighting Assistant | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1971 Visa | View Form | ||||||
| Nikki | Bonevich | nikki@bonevich.com | (734) 717-6085 | Adult | Libbie Bonevich (12) Lee Bonevich (9) | Jeff Bonevich | (734) 678-7242 | Spouse | Max Bonevich | (734) 834-8385 | Son | None | Phil Rodgers | (734) 998-7390 | Arbor Dental | (734) 975-0500 | Choreographer | Choreographer | Choreographer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1971 Visa | View Form | |||
| Dani | Macorkindale | grumpycatmac@comcast.net | (734) 431-0611 | 9 | John Macorkindale | (734) 223-8324 | Father | Becki Macorkindale | (734) 717-8814 | Mother | Non life threatening Allergies to: animal dander, some trees, molds, dust mites | John D Macorkindale | (734) 647-5680 | John D Macorkindale | (734) 414-9554 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3530 MasterCard | View Form | ||||||||
| Aidan | Davis | 2020davisaidanr@aaps.k12.mi.us | (734) 545-5479 | 11 | Stacy Davis | (810) 624-5171 | Mother | Dan Salamone | (734) 883-3577 | Stepfather | anxiety, asthma | David Thorrez | (734) 572-8686 | Matthew Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2130 Visa | View Form | ||||||||
| Rachel | Salamone | Raycharles501@gmail.com | (734) 352-0502 | 10 | Dan Salamone | (734) 883-3577 | Father | Stacy Davis | (810) 624-5171 | Stepmother | Asthma, allergy caused and controlled with an inhaler | Dr. Dickson | (734) 647-5680 | Dr. Heys | (734) 668-7157 | Spot Lights | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2130 Visa | View Form | ||||||
| Mary | Howard | skhmary1@aol.com | (734) 834-1070 | Adult | Brendan Howard | Sean Howard | (734) 277-1025 | Husband | Keith Belleville | (248) 887-7047 | Father | Bee stings and Sulpha | Dr. Bloch | (248) 348-1131 | Progressive Dental | (734) 493-0402 | Cue Runner | Cue Runner | Cue Runner | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2504 MasterCard | View Form | |||
| Brendan | Howard | brendankh2@gmail.com | (734) 730-0468 | 11 | Mary Howard | (734) 834-1070 | Mother | Sean Howard | (734) 277-1025 | Father | None | Dr Patrick Gordot | (734) 769-3896 | Progressive Dental | (734) 493-0402 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2504 MasterCard | View Form | ||||||||
| Amanda | Gebhardt | mitcheam@gmail.com | (773) 559-6332 | Adult | Abby Gebhardt, Grade 2 | Joe Gebhardt | (773) 678-4033 | Spouse | Joe Gebhardt | (773) 678-4033 | Spouse | None | Dr yang | (734) 761-2581 | None | (773) 559-6332 | Yard Sign/Poster Distributor | Advertising and Publicity | Child Room Supervisor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6853 Visa | View Form | |||
| Abby | Gebhardt | mitcheam@gmail.com | (773) 559-6332 | 2 | Amanda Gebhardt | (773) 559-6332 | Mom | Joe Gebhardt | (773) 678-4033 | Dad | None | Dr. Grace Yang | (734) 761-2581 | Dr. James Clark | (734) 971-3368 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6853 Visa | View Form | ||||||||
| Erik | Marshall | res611@gmail.com | (313) 505-1396 | Adult | Aida Labowitch grade 9 | Rebecca Labowitch | (810) 240-3152 | Partner | Gabriella Marshall | (734) 422-1262 | Mother | Certified Knucklehead | Eric Straka | (734) 994-7446 | Canton Park Dental | (734) 459-5370 | Set Painting and Building | Props | Prompter | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6726 Visa | View Form | |||
| Aida | Labowitch | Dragonlover303@gmail.com | (810) 240-3152 | 9 | Rebecca Labowitch | (810) 240-3152 | Mother | Adam Labowitch | (810) 240-3117 | Father | Hashimoto's Dz | Anita Bodiya | (248) 465-4160 | Canton Park Dental | (734) 459-7350 | Make-up Artist Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6726 Visa | View Form | |||||||
| Rebecca | Labowitch | labowr@gmail.com | (810) 240-3152 | Adult | Aida Labowitch grade 9 | Erik Marshall | (313) 505-1396 | Partner | Marie Harrington | (989) 859-5844 | Mother | Allergic to penicillin | Anita Bodiya | (248) 465-4160 | Canton Park Dental | (734) 459-5370 | Costume Coordinator | Make-up Artist | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6726 Visa | View Form | |||
| Becki | Macorkindale | rmacorkindale@comcast.net | (734) 717-8814 | Adult | Dani Macorkindale | John Macorkindale | (734) 223-8324 | Husband | Kaye Cannizzaro | (313) 357-5717 | Sister in law | Trulicity, metformin, atorvastatin | Dr. Irby-Johnson | (734) 647-5650 | Dr. Lasser | (734) 427-8833 | Cue Runner | Prompter | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1848 Visa | View Form | ||||
| David | Barnett | david.barnett@ithaka.org | (734) 678-3373 | Adult | Olivia Barnett, Nathan Barnett | Shana Barnett | (734) 678-3373 | Spouse | Praveena Ramaswami | (734) 223-5101 | Friend | Athsma | Dr. Sun | (734) 647-5650 | Dr Tar | (734) 994-5353 | Props | Cast Refreshments Crew | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX5007 American Express | View Form | |||
| Pawel | Branski | pbranski@gmail.com | (734) 218-5320 | Adult | Pawel Branski | (734) 218-5320 | myself | Yelinda Yap | (248) 982-8049 | wife | None | NA | (248) 982-8049 | NA | (248) 982-8049 | Cue Runner | Curtain Puller | DVD Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7442 Visa | View Form | ||||
| Nathan | Barnett | natedogbarnett@gmail.com | (734) 881-3736 | 6 | David Barnett | (734) 678-3373 | Father | Shana Barnett | (734) 678-3169 | Mother | None | Dr. Brenner | (734) 434-3000 | Dr. Tar | (734) 994-5353 | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5007 American Express | View Form | |||||||
| Tori | Melendez | torilmelendez@gmail.com | (734) 344-9766 | Adult | Amaya-grade 10 | robert melendez | (313) 673-2688 | spouse | cheri dancey | (313) 510-6200 | parent | none | umich | (734) 936-4000 | umich | (734) 936-4000 | Ticket and Concessions Sales | Cast Refreshments Crew | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4247 Visa | View Form | |||
| Hunter | Conklin | meganlballard@gmail.com | (734) 216-4139 | Young 5s | Megan Conklin | (734) 216-4139 | Mom | Scott Conklin | (734) 637-1550 | Dad | No right kidney | Dr Musci | (734) 647-2675 | Lindsey Wurtzel | (734) 971-2675 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3211 Visa | View Form | ||||||||
| Piper | Conklin | meganlballard@gmail.com | (734) 216-4139 | 2 | Megan Conklin | (734) 216-4139 | Mom | Scott Conklin | (734) 637-1550 | Dad | None | Dr Musci | (734) 647-5680 | Lindsey Wurtzel | (734) 971-2675 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3211 Visa | View Form | ||||||||
| Megan | Conklin | meganlballard@gmail.com | (734) 216-4139 | Adult | Piper Conklin 2 Hunter Conklin Y5 | Scott Conklin | (734) 637-1550 | Husband | Jeff Ballard | (603) 252-1888 | Brother | Sulfa allergy Asthma | IHA | (734) 995-0303 | Lindsey Wurtzel | (734) 971-2675 | Cast Refreshments Crew | Ticket and Concessions Sales | Sewing | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3211 Visa | View Form | |||
| Erica | McLeod | ericamcleod@gmail.com | (734) 913-0794 | Adult | Kendra McLeod; 4 | Patrick McLeod | (734) 913-0794 | spouse | ????? | (734) 913-0794 | ????? | NA | Dr. Amanda Kaufman | (734) 547-3990 | Dr. Shannon Kotre | (734) 677-2156 | Yard Sign/Poster Distributor | T-shirt Distribution | Advertising and Publicity | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3968 Visa | View Form | |||
| Kendra | McLeod | ericamcleod@gmail.com | (734) 913-0794 | 4 | Erica McLeod | (734) 913-0794 | mother | Patrick McLeod | (734) 913-0794 | father | none | Dr. Amanda Kaufman | (734) 547-3990 | Dr. Shannon Kotre | (734) 677-2156 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3968 Visa | View Form | ||||||||
| Nicolas | Langdon | robert.s.langdon@exxonmobil.com | (734) 913-2454 | 8 | Robert Langdon | (248) 763-0403 | Father | Victoria Booker | (734) 274-1880 | Mother | None | Dr. Carmen Green-Lee | (734) 971-9344 | Tree Town Dentistry | (734) 662-1591 | Set Painting and Building Spot Lights Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1398 Visa | View Form | ||||||
| Saumil | Agarwal | mad_agar@hotmail.com | (734) 222-9096 | 6 | Madhur | (734) 276-2827 | Mother | Sailesh | (734) 276-0726 | Father | Asthma | Dr.Gordan | (734) 769-3896 | Dr.Choi | (734) 929-9910 | Children Cast and Children's Cast Party Refreshment Crew Child Room Supervisor T-shirt Distribution Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1013 American Express | View Form | |||||||
| Robert | Langdon | robert.s.langdon@exxonmobil.com | (734) 913-2454 | Adult | Nicolas Langdon - 8 th grade. Backstage. | Victoria Booker | (734) 274-1880 | Wife | Carol Langdon | (734) 476-4147 | Mother | None | Dr. Kwok | (734) 647-5650 | Dr. Kotre | (734) 677-2156 | Set Painting and Building | Stage Crew | Curtain Puller | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1398 Visa | View Form | |||
| Olivia | Barnett | livilou552@gmail.com | (734) 353-6067 | 9 | David Barnett | (734) 678-3373 | Father | Shana Barnett | (734) 678-3169 | Mother | Athsma | Dr. Brenner | (734) 434-3000 | Dr Tar | (734) 994-5353 | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5007 American Express | View Form | |||||||
| Anna | Xu | 2007yl@gmail.com | (734) 972-7695 | 1 | Tao Xu | (734) 972-7695 | Dad | Yang Liu | (734) 972-7042 | Mom | None | Chamness | (734) 971-9344 | Gentle Dental | (734) 975-0100 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3006 American Express | View Form | ||||||||
| Amelie | Sasena | jsasena@sbcglobal.net | (734) 274-0954 | 3 | Jolene Sasena | (734) 274-0954 | Mother | Mike Sasena | (734) 274-3484 | Father | None | Alyson Bokshan | (734) 971-9344 | Shannon Kotre | (734) 677-2156 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9784 Visa | View Form | ||||||||
| Sarah | Xu | 2007yl@gmail.com | (734) 972-7695 | 4 | Tao Xu | (734) 972-7695 | Dad | Yang Liu | (734) 972-7042 | Mom | None | Chamness | (734) 971-9344 | Gentle Dental | (734) 975-0100 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3006 American Express | View Form | ||||||||
| Rich | Cantley | cantleyr@gmail.com | (248) 766-4260 | Adult | Felix Cantley (Young 5's) | Nicole Tuttle | (312) 399-7923 | spouse | Toni Cantley | (248) 766-5590 | parent | n/a | David Winston | (734) 995-0303 | Excel Family Dentistry | (734) 929-9999 | Curtain Puller | Set Painting and Building | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6445 MasterCard | View Form | |||
| Averil | Xu | 2007yl@gmail.com | (734) 972-7695 | 5 | Tao Xu | (734) 972-7695 | Dad | Yang Liu | (734) 972-7042 | Mom | None | Chamness | (734) 971-9344 | Gentle Dental | (734) 975-0100 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3006 American Express | View Form | ||||||||
| Nicole | Tuttle | tuttlium@gmail.com | (312) 399-7923 | Adult | Felix Cantley | Rich Cantley | (248) 766-4260 | spouse | Diana Tuttle | (989) 450-0832 | parent | type 1 diabetes | Dr. Sandouk | (734) 663-2490 | Excel Family Dentistry | (734) 929-9999 | Cue Runner | Lights | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6445 MasterCard | View Form | |||
| Chloe | Sasena | jsasena@sbcglobal.net | (734) 274-0954 | 6 | Jolene Sasena | (734) 274-0954 | Mother | Mike Sasena | (734) 274-3484 | Father | Allergy to Amoxicillin Bi-lateral hearing loss - has cochlear implant & hearing aid to hear | Alyson Bokshan | (734) 971-9344 | Shannon Kotre | (734) 677-2156 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9784 Visa | View Form | ||||||||
| Jolene | Sasena | jsasena@sbcglobal.net | (734) 274-0954 | Adult | Chloe Sasena (grade 6) Amelie Sasena (grade 3) | Mike Sasena | (734) 274-3484 | Husband | Deanna Hoffman | (734) 395-7274 | Friend & Neighbor | Allergy to amoxicillin | Dr. G. Yen | (734) 998-7390 | Dental Faculty Associates | (734) 764-3155 | Prompter | T-shirt Distribution | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9784 Visa | View Form | ||||
| Felix | Cantley | tuttlium@gmail.com | (312) 399-7923 | Young 5s | Nicole Tuttle | (312) 399-7923 | parent | Rich Cantley | (248) 766-4260 | parent | wears glasses | Dr. Andy Seiler | (734) 994-5858 | Ann Arbor Pediatric Dentistry | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6445 MasterCard | View Form | ||||||||
| Tristan | Pozenel | mpozenel@gmail.com | (734) 223-4520 | 5 | Melissa Pozenel | (734) 223-4520 | Mother | James Pozenel | (313) 622-1284 | Father | Glute and Dairy Intolerances | Dr. John Scheerer | (734) 971-7070 | Cori Crider | (734) 572-4428 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5363 Visa | View Form | ||||||||
| James | Pozenel | mpozenel@gmail.com | (313) 622-1284 | Adult | Tristan Pozenel, 5th Grade Ophelia Pozenel, 8th Grade, props/set building. | Melissa Pozenel | (734) 223-4520 | Wife | Amy Cameron | (734) 693-2323 | Cousin | none | John Scheerer | (734) 971-7070 | Cori Crider | (734) 572-4428 | Graphic Designer | Playbill/DVD Design and Printing | DVD Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX5363 Visa | View Form | |||
| Yang | Liu | 2007yl@gmail.com | (734) 972-7695 | Adult | Averil Xu 5th grade Sarah Xu 4th grade Anna Xu 1st grade | Tao Xu | (734) 972-7695 | spouse | Wenjing Weng | (480) 335-8119 | friend | Nono | Chamness | (734) 971-9344 | Gentle Dental | (734) 975-0100 | Child Room Supervisor | Cue Runner | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3006 American Express | View Form | |||
| Emmy | Seth | queenemmy101@gmail.com | (734) 834-2956 | 11 | Beth Seth | (612) 501-9311 | mother | Milan Seth | (612) 501-9306 | father | none | Monica Montemayor | (734) 769-3896 | Natalie Henke | (734) 971-6400 | Costume Coordinator | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3117 Visa | View Form | |||||||
| Opehia | Pozenel | mpozenel@gmail.com | (734) 223-4520 | 8 | James Pozenel | (313) 622-1284 | father | Melissa Pozenel | (734) 223-4520 | mother | Gluten & dairy | John Scheerer | (734) 971-7070 | Cori Crider | (734) 572-4428 | Props Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX5363 Visa | View Form | ||||||
| Nicholas | Cho | patrickpenguin@yahoo.com | (734) 994-4887 | Adult | Nathalie and Caitlinn (5th and 3rd grade) Nicholas and his older sister Samantha volunteered in place of Suzanne and I and would like to do so again this year. | Patrick Cho | (734) 358-4593 | Father | Suzanne Cho | (734) 358-4592 | Mother | Amoxicillin (rash) | Dr. Frances Youssef | (734) 769-3896 | Dr. Kristin Johnson | (734) 665-9134 | Set Painting and Building | Spot Lights | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3660 Visa | View Form | |||
| Samantha | Cho | patrickpenguin@yahoo.com | (734) 994-4887 | Adult | Nathalie and Caitlinn (younger siblings, 5th and 3rd grade) Samantha and her brother Nicholas volunteered in place of Suzanne and I and would like to do so again this year. | Patrick Cho | (734) 358-4593 | Father | Suzanne Cho | (734) 358-4592 | Mother | None | Dr. Frances Youssef, et al (Primary Pediatrics) | (734) 769-3896 | Dr. Krsitin Johsnon | (734) 665-9134 | Set Painting and Building | Stage Crew | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3660 Visa | View Form | |||
| Tristan | Pozenel | LECTROTEXT@GMAIL.COM | (313) 622-1284 | 5 | James Pozenel | (313) 622-1284 | father | Melissa | (734) 223-4520 | mother | Gluten & Dairy | John Scheerer | (734) 971-7070 | Cori Crider | (734) 572-4428 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5363 Visa | View Form | ||||||||
| Cathy | Petchell | cepetch@gmail.com | (734) 260-0778 | Adult | Leah Petchell, Grade 10 | Dana Higa | (734) 564-8751 | Neighbor | Nikki Bonovich | (734) 717-6085 | Neighbor | . | Binju Joel | (734) 995-0303 | Dina Cocco | (734) 668-8636 | Make-up Artist | Ticket and Concessions Sales | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7895 MasterCard | View Form | |||
| Leah | Petchell | cepetch@gmail.com | (734) 210-8041 | 10 | Cathy Petchell | (734) 260-0778 | Mom | Dana Higa | (734) 564-8751 | Neighbor | . | Mary Khunger | (810) 494-6820 | A2 Pediatric Dentistry | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7895 MasterCard | View Form | ||||||||
| Stacy | Davis | ycaps2@gmail.com | (810) 624-5171 | Adult | Aidan Davis (11th) Rachel Salamone - lights only/not acting | Dan Salamone | (734) 883-3577 | Fiance | Sue Finley | (810) 938-1771 | Mother | Asthma, seasonal allergies | Dr. Joy Williams | (734) 647-5640 | Matthew Schaub | (734) 761-1194 | Props | Stage Crew | Lights | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2130 Visa | View Form | |||
| Davina | Seth | milanandbethseth@netzero.net | (734) 263-8055 | 6 | Beth Seth | (612) 501-9311 | mother | Milan Seth | (612) 501-9306 | father | none | Monica Montemayor | (734) 769-3896 | natalie Henke | (734) 863-8055 | Cast Refreshments Crew Child Room Supervisor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3117 Visa | View Form | |||||||
| Anna | Wymann | AnnaEWyman@gmail.com | (734) 945-3516 | 7 | John wyman | (734) 945-9076 | dad | Susan wyman | (734) 330-4302 | mom | none | IHA | (734) 995-0303 | progressive dental | (734) 930-4022 | Costume Coordinator Prompter T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1019 American Express | View Form | |||||||
| john | wyman | jwwyman@gmail.com | (734) 945-9076 | Adult | Anna Wyman | Susan wyman | (734) 945-9076 | wife | john wyman | (734) 945-9076 | me | no | IHA | (734) 455-1200 | progressive dental | (734) 930-4022 | Costume Coordinator | Prompter | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1019 American Express | View Form | ||||
| Tracey | Bird | birdtracey68@yahoo.com | (734) 249-4328 | Adult | Deegan Schork 11 Bella Schork 9 | Richard Bird | (734) 717-9071 | Father | Rosie Bird | (734) 665-4999 | Mother | None of your business | Dr Fardous | (734) 995-0303 | Dr Hanselman | (734) 663-3062 | T-shirt Distribution | Costume Coordinator | Sewing | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0812 MasterCard | View Form | |||
| Bella | Schork | birdtracey68@yahoo.com | (734) 249-4325 | 9 | Tracey Bird | (734) 249-4328 | Mother | Richard Bird | (734) 717-9071 | Grandfather | None | Dr Yousef | (734) 769-3896 | Dr Hanselman | (734) 663-3202 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0812 MasterCard | View Form | ||||||||
| Deegan | Schork | birdtracey68@yahoo.com | (734) 249-4328 | 11 | Tracey Bird | (734) 249-4328 | Mother | Richard bird | (734) 717-9071 | Grandfather | None | Dr Yousef | (734) 769-3896 | Dr Hanselman | (734) 663-3202 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0812 MasterCard | View Form | ||||||||
| Gudrun | Bossmann | bossmann.gudrun@gmail.com | (734) 358-1945 | Adult | Levi Bossmann Zoe Bossmann | Kai Bossmann | (734) 780-0242 | Spouse | Uta Milewski | (716) 393-0653 | Aunt | n/a | Dr. Fadous | (734) 995-0303 | Dr. Wennersten | (734) 668-9988 | Set Painting and Building | Cue Runner | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1018 American Express | View Form | |||
| Zoe | Bossmann | bossmann.gudrun@gmail.com | (734) 358-1945 | 3 | Gudrun Bossmann | (734) 358-1945 | Mother | Kai Bossmann | (734) 780-0242 | Father | n/a | Dr. Cooke | (734) 769-3869 | Dr. Wennersten | (734) 668-9988 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1018 American Express | View Form | ||||||||
| Levi | Bossmann | bossmann.gudrun@gmail.com | (734) 358-1945 | K | Gudrun Bossmann | (734) 358-1945 | Mother | Kai Bossmann | (734) 780-0242 | Father | n/a | Dr. Cooke | (734) 769-3896 | Dr. Wennersten | (734) 668-9988 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1018 American Express | View Form | ||||||||
| Byron | Bunker | bunker.byron@gmail.com | (734) 730-6242 | Adult | None | Amy bunker | (734) 730-8715 | Spouse | Austin bunker | (734) 660-3442 | Daughter | None | Kristin krieger | (734) 647-5670 | Xxx | (999) 999-9999 | Set Painting and Building | Props | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2018 American Express | View Form | |||
| Amy | Bunker | bunkeramy1@gmail.com | (734) 730-8715 | Adult | None | Byron bunker | (734) 730-6242 | Spouse | Mary garton | (734) 717-9034 | Friend | None | Kristin krieger | (734) 647-5640 | Greashaber | (999) 999-9999 | Set Painting and Building | Props | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2018 American Express | View Form | |||
| Yvonne | Stevens | yvonnestevens@comcast.net | (734) 883-9989 | Adult | Lisa Stevens Miriam Stevns | Troy Stevens | (734) 883-9989 | Husband | Syliva Taschka | (734) 358-9231 | Friend | None | David Winston | (734) 995-0303 | Community Dentistry | (734) 998-9640 | Yard Sign/Poster Distributor | Set Painting and Building | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9454 Visa | View Form | ||||
| Miriam | Stevens | miriamestevens@comcast.net | (734) 678-5846 | 12 | Yvonne Stevens | (734) 883-9989 | Mother | Troy Stevens | (734) 355-3812 | Father | None | Dr. Amy Cook | (734) 769-3896 | Community Dentistry | (734) 998-9640 | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9454 Visa | View Form | |||||||
| Lisa | Stevens | lisaestevens@comcast.net | (734) 678-1714 | 12 | Yvonne Stevens | (734) 883-9989 | Mother | Troy Stevens | (734) 355-3812 | Father | None | Dr. Amy Cook | (734) 769-3896 | Community Dentistry | (734) 998-9640 | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9454 Visa | View Form | |||||||
| Dennis | O'Reilly | dennis@doreilly.org | (248) 790-2483 | Adult | Ada O'Reilly | Anne O'Reilly | (248) 302-5584 | Daughter's mom | James O'Reilly | (248) 320-3424 | Father | Seasonal allergies, cats. | Karl Brenner | (734) 995-0303 | Community Dental Center | (734) 998-9640 | Child Room Supervisor | Set Painting and Building | Sound | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2668 Visa | View Form | |||
| Richard | Bird | richardnbird@yahoo.com | (734) 665-4999 | Adult | None | Rosie Bird | (734) 665-4999 | Wife | Tracey Bird | (734) 249-4325 | Daughter | see wallet card | Dr Cahill | (734) 528-5700 | Dr Mark Hanselman | (734) 769-1130 | T-shirt Distribution | Choreographer | Graphic Designer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3698 MasterCard | View Form | ||||
| Madison | Jenkinson | madison.fentriss@gmail.com | (734) 972-0009 | Adult | Avery Fentriss grade 1 age 6 | Stephen Fentriss | (734) 717-6709 | Spouse | Patty Jenkinson | (734) 260-4657 | Mother | None | Binju Joel | (734) 995-0303 | Dr Noonan | (734) 769-7777 | Props | Sewing | Advertising and Publicity | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2365 Visa | View Form | |||
| Noemie-Grade 2 | Wurster-Dillard | dillardmarguerite@gmail.com | (248) 679-2227 | 2 | Remy Wurster | (248) 826-0715 | Dad | Marguerite Dillard | (248) 679-2227 | Mum | none | IHA Pediatrics Dr Cook | (734) 769-3896 | Dr Bader | (734) 971-3368 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0267 Visa | View Form | ||||||||
| Ada | O'Reilly | dennis@doreilly.org | (248) 790-2483 | K | Dennis O'Reilly | (248) 790-2483 | Father | Anne O'Reilly | (248) 302-5584 | Mother | None | Amy Cooke | (734) 769-3896 | Tree Town Pediatric Dentistry | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2668 Visa | View Form | ||||||||
| Frances | Yeh | franyeh95@gmail.com | (734) 945-8806 | Adult | Caroline Yeh - 5th Grade | Tom Yeh | (734) 546-2219 | Husband | Matthew Yeh | (734) 998-2901 | Son | none | Dr. Heather Simpkins | (734) 995-0303 | Progressive Dental - Dr. Bart Hall | (734) 930-4022 | Ticket and Concessions Sales | T-shirt Distribution | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3986 Visa | View Form | |||
| Caroline | Yeh | carolinesyeh@gmail.com | (734) 945-8806 | 5 | Frances Yeh | (734) 945-8806 | Mom | Tom Yeh | (734) 546-2219 | Dad | none | Dr. Heather Burrows | (734) 647-5680 | Progressive Dental - Dr. Bart Hall | (734) 930-4022 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3986 Visa | View Form | ||||||||
| carol | collins | collinsc@umich.edu | (734) 277-7804 | Adult | Linea Collins | (734) 277-7804 | mother | Nancy Ferry | (734) 972-8008 | friend | Hypothyroidism, Turner's Syndrome, osteoporosis, | David Cooke | (734) 647-5650 | Regina Davis | (734) 995-5191 | Pianist | Sound | Choreographer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7147 MasterCard | View Form | ||||
| Lina | Xie | lnxie@hotmail.com | (734) 741-1886 | Adult | Benson Liang , grade 4 | Lina Xie | (734) 741-1886 | myself | Ren Liang | (734) 634-5111 | spouse | n/a | xian Chen | (734) 936-4500 | Limei Wang | (734) 477-9351 | Child Room Supervisor | Child Room Supervisor | Child Room Supervisor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6856 Visa | View Form | |||
| Benson | Liang | lnxie@hotmail.com | (734) 741-1886 | 4 | Lina Xie | (734) 476-8195 | Mother | Ren Liang | (734) 634-5111 | Father | n/a | Heather Lee Burrows | (734) 647-5670 | Dr. Kim | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6856 Visa | View Form | ||||||||
| Ginger | Derrow | ginger.derrow@gmail.com | (731) 999-7009 | Adult | Charlotte Derrow | Avram Derrow | (734) 999-6171 | husband | Stephanie Foster | (517) 490-4702 | sister | sulfa allergy | IHA Domino's Farms Internal Medicine | (734) 995-0303 | Kyle Pullen | (734) 761-2629 | Sewing | Ticket and Concessions Sales | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8747 Visa | View Form | |||
| Charlotte | Derrow | ginger.derrow@gmail.com | (734) 999-7009 | 7 | Ginger Derrow | (734) 999-7009 | mother | Avram Derrow | (734) 999-6171 | father | none | IHA Dominos Farms | (734) 769-3896 | Kyle Pullen | (734) 761-2629 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8747 Visa | View Form | ||||||||
| Katherine | Mattson | katherine.d.mattson@gmail.com | (734) 709-1170 | 10 | Melissa Mattson | (734) 945-0687 | Mother | Steve Mattson | (734) 945-8601 | Father | None | Dr. Youssef | (734) 769-3896 | Dr. Wurtzel | (734) 971-2675 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8102 Visa | View Form | ||||||||
| Noah | Mattson | melissamattson1@hotmail.com | (734) 222-6478 | 6 | Melissa Mattson | (734) 945-0687 | Mother | Steve Mattson | (734) 945-8601 | Father | Allergic to peanuts, tree nuts, chickpeas, lentils | Dr. Gordon | (734) 769-3896 | Dr. Wurtzel | (734) 971-2675 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8102 Visa | View Form | ||||||||
| Lianne | van den Bosch | Aliviyasmommy@yahoo.com | (650) 283-2424 | Adult | Aliviya Jenkins- 7th Grade | Toni curry | (734) 218-6620 | mother in law | joseph manning | (650) 440-2326 | significant other | none | Dr crow | (734) 456-5600 | none | (000) 000-0000 | Cast Refreshments Crew | Cast Refreshments Crew | Children Cast and Children's Cast Party Refreshment Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX5605 Visa | View Form | |||
| Aliviya | Jenkins | aliviyasmommy@yahoo.com | (747) 283-5235 | 7 | Lianne van den Bosch | (650) 283-2424 | mother | Toni Curry | (734) 218-6620 | Nana | none | Dr Abraham Flommy | (734) 456-5600 | Healthy smile Dentistry, Ypsilanti | (734) 528-9132 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5605 Visa | View Form | ||||||||
| Alison | Nix | alidnix@gmail.com | (734) 846-5628 | Adult | Cooper Nix | Mike Nix | (734) 239-5950 | Spouse | Corrie Sterzinger | (734) 834-2450 | Sister | None | Simpkins | (999) 999-9999 | Schaub | (999) 999-9999 | Advertising and Publicity | Cue Runner | Advertising and Publicity | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6971 Discover | View Form | |||
| Angad | Pal | anukjnu@gmail.com | (734) 330-0916 | 4 | Archana Shukla | (734) 546-2286 | Family friend | Pankaj Vats | (734) 604-7158 | Family friend | Allergic to bug bite. Swelling and itching at bite site occurs. Ice and after-itch medicine are helpful. | Matthew Waier | (734) 971-9344 | Youngjoo Kim | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8208 Visa | View Form | ||||||||
| anupama | pal | anukjnu@gmail.com | (734) 330-0916 | Adult | Angad Pal, Grade 4th | Archana Shukla | (734) 546-2286 | Family friend | Pankaj Vats | (734) 604-7158 | Family friend | none known. | Saima Goriya | (734) 764-8320 | Tijen Lacin | (734) 975-0100 | Child Room Supervisor | Cue Runner | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8208 Visa | View Form | |||
| Nicole | Arruda | narruda789@gmail.com | (734) 395-5902 | Adult | Tony Arruda | (734) 325-8567 | Dad | Ellen Arruda | (734) 645-5259 | Mom | Penicillin, amoxicillin, probably most –cillins | - | (734) 395-5902 | - | (734) 395-5902 | Set Painting and Building | Sewing | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8481 Visa | View Form | |||||
| leela | ramaswami | praveenajramaswami@gmail.com | (734) 223-5101 | 6 | praveena ramaswami | (734) 223-5101 | mom | madhan ramaswami | (734) 355-6105 | dad | none | Dr.Burrows | (734) 647-5680 | Dr.Bart Hall | (734) 930-4022 | Graphic Designer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0853 MasterCard | View Form | |||||||
| meera | ramaswami | praveenajramaswami@gmail.com | (734) 355-6105 | 9 | praveena ramaswami | (734) 223-5101 | mom | madhan ramaswamim | (734) 355-6105 | dad | none | Dr.Burrows | (734) 647-5680 | Dr.Bart Hall | (734) 930-4022 | Costume Coordinator | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0853 MasterCard | View Form | |||||||
| Madhan | Ramaswami | madhan.ramaswami@gmail.com | (734) 355-6105 | Adult | meera ramaswami leela ramaswami | praveena ramaswami | (734) 223-5101 | wife | david Barnett | (734) 678-3373 | friend | none | um | (734) 647-5680 | Dr. Hall | (734) 930-4022 | Props | Set Painting and Building | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0853 MasterCard | View Form | |||
| praveena | ramaswami | praveenajramaswami@gmail.com | (734) 223-5101 | Adult | Meera Ramaswami Leela Ramaswami | madhan ramaswami | (734) 355-6105 | husband | David Barnett | (734) 678-3373 | neighbor friend | none | IHA | (734) 995-0303 | Dr.Bart Hall | (734) 930-4022 | Make-up Artist | Cue Runner | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0853 MasterCard | View Form | |||
| Sonora | Manthey | maryannasm@comcast.net | (734) 255-5225 | 8 | Chris Manthey | (734) 255-5232 | Father | Noelle Potocki | (517) 214-3329 | auntie | none | Karen Brenner | (734) 434-3000 | MaryJo Sandberg | (734) 769-4070 | Props Set Painting and Building Spot Lights Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0532 Visa | View Form | ||||||
| Lochlan | Manthey | maryannasm@comcast.net | (734) 255-5225 | 4 | Chris Manthey | (734) 255-5232 | Father | Noelle Potocki | (517) 214-3329 | auntie | none | Karen Brenner | (734) 434-3000 | MaryJo Sandberg | (734) 769-4070 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0532 Visa | View Form | ||||||||
| Mary | Sheaffer-Manthey | maryannasm@comcast.net | (734) 255-5225 | Adult | Lochlan Manthey Grade 4 | Chris Manthey | (734) 255-5232 | Husband | Noelle Potocki | (517) 214-3329 | friend | NONE | Eric Straka | (734) 994-7446 | Mary Jo Sandberg | (734) 769-4070 | Make-up Artist | Stage Crew | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0532 Visa | View Form | |||
| Sophie | Lee | bethgrzelak@gmail.com | (734) 945-6519 | 6 | Beth Grzelak-Lee | (734) 945-6519 | Mother | David Lee | (248) 980-7779 | Father | None known | Dr. Melissa Heinen | (734) 455-4600 | Dr. Jay Nitzkin | (734) 427-7555 | Curtain Puller Prompter T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8105 Visa | View Form | |||||||
| Kendra | Conklin | kkeifer@umich.edu | (734) 320-1962 | 5 | Kimberly Conklin | (734) 320-1962 | Mother | Barry Conklin | (734) 320-2780 | Father | None | Dr. Frei | (734) 434-3000 | Dr. Kim | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7904 Visa | View Form | ||||||||
| Brynn | Conklin | kkeifer@umich.edu | (734) 320-1962 | 6 | Kimberly Conklin | (734) 320-1962 | Mother | Barry Conklin | (734) 320-2780 | Father | None | Dr. Frei | (734) 434-3000 | Dr. Kim | (734) 662-1591 | Choreographer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7904 Visa | View Form | |||||||
| Kimberly | Conklin | kkeifer@umich.edu | (734) 320-1962 | Adult | Brynn Conklin - 6th Grade Kendra Conklin - 5th Grade | Barry Conklin | (734) 320-2780 | Spouse | Linda Keifer | (517) 215-4885 | Mother | None | IHA | (734) 995-0303 | Dr. Marzonie | (734) 677-8700 | Choreographer | Choreographer | Choreographer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7904 Visa | View Form | |||
| Cooper | Nix | alidnix@gmail.com | (734) 846-5628 | 3 | Alison Nix | (734) 846-5628 | Mother | Mike Nix | (734) 239-5950 | Father | NA | Carmen Green-Lee | (734) 971-9344 | Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6971 Discover | View Form | ||||||||
| Tony | Ryan | funnyman1969@gmail.com | (734) 926-9885 | Adult | Lila and Joey Ryan | Amanda Ryan | (734) 883-6050 | Wife | Joey Ryan | (734) 747-3528 | Son | None | William Chavey | (734) 930-4020 | Excel Dental | (734) 929-9999 | Playbill/DVD Design and Printing | Set Painting and Building | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0747 MasterCard | View Form | ||||
| Lila | Ryan | lilac2333@gmail.com | (734) 883-6050 | 8 | Amanda Ryan | (734) 883-6050 | Mother | Tony Ryan | (734) 926-9885 | Father | None | Sharon Kileny | (734) 232-2600 | Progressive Dental | (734) 930-4022 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0747 MasterCard | View Form | ||||||||
| Joseph | Ryan | joehac02@gmail.com | (734) 747-3528 | 11 | Amanda Ryan | (734) 883-6050 | Mother | Tony Ryan | (734) 926-9885 | Father | None | Sharon Kileny | (734) 232-2600 | Progressive Dental | (734) 930-4022 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0747 MasterCard | View Form | ||||||||
| Lillia | Brooks | lilliaawb@gmail.com | (734) 369-0181 | 9 | Margaret Weiss | (734) 717-4494 | Mama | Colin Brooks | (734) 604-4196 | DaddyO | None | Ariel Shagena | (734) 769-3702 | Youngjoo Kim | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1005 American Express | View Form | ||||||||
| Colin | Brooks | cnbrooks@mtu.edu | (734) 604-4196 | Adult | Lillia Brooks | Margaret Weiss | (734) 717-4494 | Better Half | Jeff Bonevich | (734) 678-7242 | Friend dude! | None | Karl Rew | (734) 647-5640 | Meredith Hall | (734) 930-4022 | Yard Sign/Poster Distributor | DVD Distributor | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1005 American Express | View Form | ||||
| Gene | Rye | gene.rye@comcast.net | (734) 417-0413 | Adult | Kathy Rye | (734) 417-3282 | spouse | Chris Rye | (734) 474-0948 | son | none | Karl Edelmann | (734) 747-8500 | Dr. Dill | (734) 663-0100 | Set Painting and Building | Stage Crew | Spot Lights | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8778 Visa | View Form | ||||
| Kathy | Rye | kmrye19@gmail.com | (734) 417-3282 | Adult | Gene Rye | (734) 417-0413 | spouse | Chris Rye | (734) 474-0948 | son | none | Karl Edelmann | (734) 747-8500 | Dr. Dill | (734) 663-0100 | Set Painting and Building | Curtain Puller | Prompter | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8778 Visa | View Form | ||||
| Ramona | Stricker | ramonaqs@gmail.com | (248) 880-3533 | Adult | Maria Stricker (grade 3) Elenor Stricker (kindergarten) | Adam Stricker | (248) 880-3532 | Spouse | Olga Quesada | (248) 408-4440 | Mother | penicillin, erythromycin, phenergan | Dr. Alisa Young | (734) 998-7390 | Dr. Mark Hanselman | (734) 769-1130 | Children Cast and Children's Cast Party Refreshment Crew | Child Room Supervisor | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1053 MasterCard | View Form | |||
| Elenor | Stricker | ramonaqs@gmail.com | (734) 369-8717 | K | Ramona Stricker | (248) 880-3533 | Mother | Adam Stricker | (248) 880-3532 | Father | NKDA | Dr. Adrienne Musci | (734) 647-5680 | Dr. Therese Shortt | (248) 437-8189 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1053 MasterCard | View Form | ||||||||
| Maria | Stricker | ramonaqs@gmail.com | (734) 369-8717 | 3 | Ramona Stricker | (248) 880-3533 | Mother | Adam Stricker | (248) 880-3532 | Father | Penicillin | Dr. Adrienne Musci | (734) 647-5680 | Dr. Therese Shortt | (248) 437-8189 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1053 MasterCard | View Form | |||||||
| Dara | Westwalewicz | westwalewiczdara1.0@gmail.com | (734) 476-9645 | 9 | Jennifer Westwalewicz | (734) 476-5258 | Mother | Piotr Westwalewicz | (734) 476-5278 | Father | NA | Ledesai | (734) 647-5670 | cocco | (734) 668-8636 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7334 Visa | View Form | ||||||||
| Jennifer | Westwalewicz | jwestwal@umich.edu | (734) 476-5258 | Adult | Zora Westwalewicz 18 Dara Westwalewicz 14 | Piotr Westwalewicz | (734) 476-5278 | Husband | Zora Westwalewicz | (734) 646-4734 | Daughter | NA | Kreiger | (734) 647-5670 | Cocco | (734) 668-8636 | Cue Runner | Curtain Puller | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7334 Visa | View Form | |||
| Zora | Westwalewicz | zziluvpie@gmail.com | (734) 646-4734 | 12 | Jennifer Westwalewicz | (734) 476-5258 | Mother | Piotr Westwalewicz | (734) 476-5278 | Father | NA | ledesai | (734) 647-5670 | Dina Cocco | (734) 668-8636 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7334 Visa | View Form | ||||||||
| Shelley | Taylor | shelleycastortaylor@gmail.com | (734) 223-7411 | Adult | Ava Grace Taylor 2nd grade | Shelley Taylor | (734) 223-7411 | Mother | Rick Taylor | (734) 223-5656 | Father | None | Dr. Amy Cooke | (734) 769-3896 | Dr. Brian Noonan | (734) 769-7777 | Make-up Artist | Child Room Supervisor | Children Cast and Children's Cast Party Refreshment Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6286 Visa | View Form | |||
| Ava Grace | Taylor | shelleycastortaylor@gmail.com | (734) 223-7411 | 2 | Shelley Taylor | (734) 223-7411 | Mother | Rick Taylor | (734) 223-5656 | Father | None | Dr. Amy Cooke | (734) 769-3896 | Dr. Brian Noonan | (734) 769-7777 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6286 Visa | View Form | ||||||||
| Kelly | Delp | ckahd@sbcglobal.net | (734) 626-0739 | Adult | Hailey Delp (8th), Lacy Delp (5th) and Emma Delp (3rd). Please try to group them together | Cliff Delp | (734) 626-0736 | spouse | Mary West | (734) 729-7760 | mother | NONE | None | (000) 000-0000 | Dr. McGue | (313) 928-2150 | Ticket and Concessions Sales | T-shirt Distribution | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2847 Visa | View Form | |||
| Emma | Delp | ckahd@sbcglobal.net | (734) 741-9127 | 3 | Kelly Delp | (734) 626-0739 | mother | Cliff Delp | (734) 626-0736 | father | NONE | Dr. Musci | (734) 647-5680 | Dr. McGue | (313) 928-2150 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2847 Visa | View Form | ||||||||
| Lacy | Delp | ckahd@sbcglobal.net | (734) 741-9127 | 5 | Kelly Delp | (734) 626-0739 | mother | Cliff Delp | (734) 626-0736 | father | NONE | Dr. Musci | (734) 647-5680 | Dr. McGue | (313) 928-2150 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2847 Visa | View Form | ||||||||
| Hailey | Delp | ckahd@sbcglobal.net | (734) 626-0739 | 8 | Kelly Delp | (734) 626-0739 | mother | Cliff Delp | (734) 626-0736 | father | NONE | Dr. Musci | (734) 647-5680 | Dr. McGue | (313) 928-2150 | T-shirt Distribution Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2847 Visa | View Form | |||||||
| Jiang | Hu | jianghuum@gmail.com | (734) 972-6980 | Adult | Emily Hu, Grade 5 | Yu Wang | (734) 657-9763 | Wife | Li Yan | (734) 272-8861 | Friend | None | Schacht Keturah | (248) 473-4300 | Wei Wang | (734) 997-8805 | Child Room Supervisor | T-shirt Distribution | Prompter | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4135 Visa | View Form | |||
| Emily | Hu | jianghuum@gmail.com | (734) 972-6980 | 5 | Jiang Hu | (734) 972-6980 | Father | Yu Wang | (734) 657-9763 | Mother | None | Lisa Whitehead | (734) 769-3896 | Wei Wang | (734) 997-8805 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4135 Visa | View Form | ||||||||
| Jeanette | Hokett | jhokett@comcast.net | (313) 402-9006 | Adult | Kyle Hokett | Carol Crane | (419) 704-0483 | Mother | Steven Crane | (419) 704-0482 | Father | none | IHA - Dominos Farm | (734) 995-0303 | Ann Arbor Smiles | (734) 677-8700 | Ticket and Concessions Sales | Set Painting and Building | Playbill/DVD Design and Printing | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7699 MasterCard | View Form | |||
| Kyle | Hokett | jhokett@comcast.net | (313) 402-9006 | 3 | Jeanette Hokett | (313) 402-9006 | Mother | Andrew Hokett | (734) 771-4199 | Father | none | Brentwood Pediatrics | (248) 478-3200 | Ann Arbor Smiles | (734) 677-8700 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7699 MasterCard | View Form | |||||||
| Sandy | Chen | sandychjr@hotmail.com | (734) 904-0128 | Adult | Monica Wang Grade K | Michael Wang | (734) 369-0172 | Husband | Michael Wang | (734) 369-0172 | Husband | None | Irby-Johnson | (734) 647-5650 | Matthew Schaub | (734) 761-1194 | Children Cast and Children's Cast Party Refreshment Crew | Cue Runner | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6050 Visa | View Form | |||
| Monica | Wang | sandychjr@hotmail.com | (734) 904-0128 | K | Sandy Chen | (734) 904-0128 | Mother | Michael Wang | (734) 369-0172 | Father | None | Kochhar | (734) 647-5650 | Matthew Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6050 Visa | View Form | ||||||||
| Sara | Mattson | sara.n.mattson@hotmail.com | (734) 330-1544 | Adult | Katherine Mattson Noah Mattson | Melissa Mattson | (734) 222-6478 | Mother | Steve Mattson | (734) 945-8601 | Father | Amoxicillin | Dr. Youssef | (734) 769-3896 | Dr. Wurtzel | (734) 971-2675 | Choreographer | Prompter | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8102 Visa | View Form | |||
| Brendan | Hish | elizabeth.hish@yahoo.com | (734) 604-7798 | 7 | Lizzie Hish | (734) 604-7798 | Mom | Gerry Hish | (734) 239-1236 | Dad | none | Patrick Gordon | (734) 769-3896 | Kristin Auer | (734) 663-2490 | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2510 Visa | View Form | ||||||
| Anna Beth | Hish | elizabeth.hish@yahoo.com | (734) 604-7798 | 9 | Lizzie Hish | (734) 604-7798 | mom | Gerry Hish | (734) 239-1236 | dad | TREE NUT ALLERGY, asthma and eczema | Amy Cooke | (734) 769-3896 | Kristin Auer | (734) 663-2490 | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2510 Visa | View Form | |||||||
| Seohyun | You | seohyun.u@gmail.com | (734) 717-2838 | Adult | Daniel Kim - 4th grade Gia Kim - kindergarten | Bongkyu Kim | (734) 945-4785 | Husband | Suin Ju | (734) 604-4349 | Friend | None | Binju Joel | (734) 995-0303 | JC Dental | (734) 572-4476 | Pianist | Child Room Supervisor | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4861 Visa | View Form | |||
| Gia | Kim | seohyun.u@gmail.com | (734) 717-2838 | K | Seohyun You | (734) 717-2838 | Mom | Bongkyu Kim | (734) 945-4785 | Father | None | Alison Dickson | (734) 647-5680 | Ray Maturo | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4861 Visa | View Form | ||||||||
| Seohyun | You | seohyun.u@gmail.com | (734) 717-2838 | 4 | Seohyun You | (734) 717-2838 | Mom | Bongkyu Kim | (734) 945-4785 | Father | None | Alison Dickson | (734) 647-5680 | Ray Maturo | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4861 Visa | View Form | ||||||||
| Jasmine | Boster | jkboster@live.com | (734) 262-6159 | Adult | Devin Boster is my child, in 6th grade. I didn't see a place for notes with the actor registration...This is very important: Devin needs to be casted with a friend or she won't do the play. Preferably Leela Ramiswami and/or Nathan Barnett. It helps her to feel less anxious. | Julie Boster | (734) 262-6158 | wife | Jaden Boster | (734) 904-9926 | daughter | N/A | Suzette LaVigne | (734) 547-7977 | Brett Walcott | (734) 994-3700 | Make-up Artist | T-shirt Distribution | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1111 Visa | View Form | |||
| Devin | Boster | jkboster@live.com | (734) 262-6159 | 6 | Jasmine Boster | (734) 262-6159 | mother | Julie Boster | (734) 262-6158 | mother | N/A | Amy Cooke | (734) 769-3896 | Brett Walcott | (734) 994-3700 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1111 Visa | View Form | ||||||||
| Christine | Brownell | angelchriss@msn.com | (173) 447-6324 | Adult | Adelaide Romero, grade 7 | Angel Romero | (734) 904-7808 | husband | Kim Brownell | (734) 330-8667 | sister | none | Dr. Martha Gray | (734) 994-7446 | Dr. Choi | (734) 929-9910 | Ticket and Concessions Sales | Props | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6050 Visa | View Form | |||
| Adelaide | Romero | angelchriss@msn.com | (734) 476-3244 | 7 | Christine Brownell | (734) 476-3244 | mom | Angel Romero | (734) 904-7808 | dad | none | Dr. Beth Barclay | (734) 994-5858 | Dr. Maturo | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6050 Visa | View Form | ||||||||
| Caitlinn | Cho | patrickpenguin@yahoo.com | (734) 994-4887 | 3 | Patrick Cho | (734) 358-4593 | Father | Suzanne Cho | (734) 358-4592 | Mother | Amoxicillin (Rash) | Dr. Frances Youssef, et al (Primary Pediatrics) | (734) 768-3896 | Dr. Raymond Maturo, et al (Ann Arbor Pediatric Dentistry) | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3660 Visa | View Form | ||||||||
| Nathalie | Cho | patrickpenguin@yahoo.com | (734) 994-4887 | 5 | Patrick Cho | (734) 358-4593 | Father | Suzanne Cho | (734) 358-4592 | Mother | None | Dr. Frances Youssef, et al (Primary Pediatrics) | (734) 769-3896 | Dr. Raymond Maturo, et al (Ann Arbor Pediatric Dentistry) | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3660 Visa | View Form | ||||||||
| Michael | Anderson | michael_c_anderson@hotmail.com | (734) 678-4277 | Adult | Kazuko Anderson | (734) 717-0504 | Spouse | Kazu Anderson | (734) 662-8381 | wife | none | Kinningham | (734) 647-5640 | Dental Faculty Associates | (734) 764-3155 | Set Painting and Building | Stage Crew | Graphic Designer | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1006 American Express | View Form | ||||
| Kamala | Meader | kmeader@aerokam.net | (734) 945-6006 | Adult | Randy Meader | (734) 657-2079 | Husband | Nancy Meader | (734) 665-8795 | Mother-in-law | allergic to penicillin | Dr. Thai LeDesai | (734) 647-5670 | Dr. Kevin Schmidt | (734) 761-7830 | Set Painting and Building | Props | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3946 Visa | View Form | ||||
| Beck | Nordstrom | karmanordstrom@gmail.com | (734) 353-7684 | 7 | Chris Nordstrom | (734) 223-7248 | Father | Sarah and Dave Levandowski | (616) 295-6173 | Aunt and Uncle | None | Eric Wheatley | (734) 971-9344 | Elizabeth Barber | (734) 971-3368 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2914 Visa | View Form | ||||||||
| Karma | Nordstrom | karmanordstrom@gmail.com | (734) 353-7684 | Adult | Beck Nordstrom - Grade 7 | Chris Nordstrom | (734) 223-7248 | Husband | Sarah & Dave Levandowski | (616) 295-6173 | Sister-in-law/brother-in-law | Karma is allergic to sulfa meds | Ann Louise Kittendorf | (734) 426-2796 | none | (000) 000-0000 | DVD Distributor | Cast Refreshments Crew | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2914 Visa | View Form | ||||
| Mason | Freeman | endyking22@gmail.com | (734) 882-9399 | 10 | Kevin Freeman | (734) 649-0648 | parent | Sara Freeman | (734) 395-0696 | parent | none | Marla C. Mikelait | (734) 434-3000 | Schaub Matthew | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5983 Visa | View Form | ||||||||
| Colby | Freeman | 2025freemancolbyr@aaps.k12.mi.us | (734) 926-9718 | 6 | Kevin Freeman | (734) 649-0648 | parent | Sara Freeman | (734) 395-0696 | parent | none | Marla Mikelait | (734) 434-3000 | Schaub Matthew | (734) 761-1194 | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5983 Visa | View Form | |||||||
| Kevin | Freeman | kevin@crazedweasel.org | (734) 649-0648 | Adult | Mason 10th, Colby 6th; | Sara Freeman | (734) 395-0696 | Spouse | none | (734) 999-9999 | none | none | none | (734) 999-9999 | none | (734) 999-9999 | Set Painting and Building | Stage Crew | Sewing | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX5983 Visa | View Form | |||
| Teresa | Hatcher | teresahatcher@ymail.com | (313) 610-8429 | Adult | Paige Hatcher - 3rd Sloane Hatcher - 1st | Kent Hatcher | (734) 417-1905 | Husband | James Mallon | (734) 255-1414 | Friend | None | Mark Ziats | (734) 936-5582 | Dr James Lee | (734) 971-9000 | T-shirt Distribution | Ticket and Concessions Sales | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4001 American Express | View Form | |||
| Sloane | Hatcher | teresahatcher@ymail.com | (313) 610-8429 | 1 | Teresa Hatcher | (313) 610-8429 | Mother | Kent Hatcher | (734) 417-1905 | Father | None | Dr. Whitehead | (734) 769-3896 | Dr James Lee | (734) 971-9000 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4001 American Express | View Form | ||||||||
| Paige | Hatcher | teresahatcher@ymail.com | (313) 610-8429 | 3 | Teresa Hatcher | (313) 610-8429 | Mother | Kent Hatcher | (734) 417-1905 | Father | None | Lisa Whitehead | (734) 769-3896 | James P Lee | (734) 971-9000 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4001 American Express | View Form | ||||||||
| Kent | Hatcher | hatcherkent@gmail.com | (734) 417-1905 | Adult | Paige Hatcher Sloane Hatcher | Teresa Hatcher | (313) 610-8429 | Wife | James Mallon | (734) 255-1414 | Friend | None | Kaplan | (555) 555-5555 | Dr James Lee | (734) 971-9000 | Curtain Puller | Child Room Supervisor | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4001 American Express | View Form | ||||
| Amelia | Lorch | smithshawna@hotmail.com | (248) 798-7371 | 3 | Jeff Lorch | (248) 798-7368 | dad | Kim Conklin | (734) 320-1962 | friend | none | Primary Pediatrics | (734) 769-3896 | Tree Town Pediatric Dental | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2156 MasterCard | View Form | ||||||||
| Julia | Lorch | smithshawna@hotmail.com | (248) 798-7371 | 6 | Jeff Lorch | (248) 798-7368 | dad | Kim Conklin | (734) 320-1962 | friend | none | Primary Pediatrics | (734) 769-3896 | tree town pediatric dental | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX2156 MasterCard | View Form | ||||||||
| Shawna | Lorch | smithshawna@hotmail.com | (248) 798-7371 | Adult | Julia Lorch Amelia Lorch | Jeff Lorch | (248) 798-7368 | spouse | Kim Conklin | (734) 320-1962 | friend | none | Dr. Joel | (734) 995-0303 | Great Expressions | (734) 677-0793 | Ticket and Concessions Sales | Set Painting and Building | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX2156 MasterCard | View Form | |||
| Jon | Gibson | jmgibson98@gmail.com | (734) 646-1466 | Adult | Nora Gibson | Mita Gibson | (734) 646-3180 | wife | Nina Gibson | (734) 646-0698 | daughter | diabetes | Karl Rew | (734) 647-5640 | Timothy McIntosh | (734) 769-2707 | Set Painting and Building | Stage Crew | Backdrop Puller | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4725 Discover | View Form | |||
| Nora | Gibson | msgibson@umich.edu | (734) 996-8215 | 9 | Mita Gibson | (734) 646-3180 | mother | Jon Gibson | (734) 646-1466 | father | autism spectrum disorder (ASD), mild | Frances Yousseff | (734) 763-3896 | Timothy McIntosh | (734) 769-2707 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4725 Discover | View Form | ||||||||
| Avery | Fentriss | madison.fentriss@gmail.com | (734) 972-0009 | 1 | Madison jenkinson | (734) 972-0009 | Mother | Patty jenkinson | (734) 260-4657 | Grandmother | None | Amy Cooke | (734) 769-3896 | Dr Noonan | (734) 769-7777 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6589 Visa | View Form | ||||||||
| Carla | Thisse | carlathisse@yahoo.com | (850) 384-8715 | Adult | Caden Thisse | Phil Thisse | (850) 384-1715 | spouse | claire stevens | (173) 426-0268 | family friend | none | IHA Dominoes Farm | (734) 995-0303 | Stevenson | (734) 201-1610 | Costume Coordinator | Yard Sign/Poster Distributor | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7500 Visa | View Form | ||||
| Caden | Thisse | carlathisse@yahoo.com | (850) 384-8715 | 5 | Phil Thisse | (850) 384-1715 | dad | claire stevens | (734) 260-2683 | family friend | none | IHA Dominoes Farm | (734) 769-3896 | Stevenson | (734) 201-1610 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7500 Visa | View Form | ||||||||
| Sylvia | Taschka | taschka.sylvia@gmail.com | (734) 358-9231 | Adult | Hannah Port, grade 7 Rebekka Port, grade 5 | Andrew Port | (734) 389-5952 | husband | Yvonne Stevens | (734) 889-9989 | friend | none | Sanson | (734) 528-5700 | Bibik | (734) 998-9640 | Ticket and Concessions Sales | DVD Distributor | T-shirt Distribution | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4934 MasterCard | View Form | |||
| Rebekka | Port | taschka.sylvia@gmail.com | (734) 358-9231 | 5 | Sylvia Taschka | (734) 358-9231 | Mother | Andrew Port | (734) 389-5952 | Father | None | Howard | (734) 453-5600 | Bibik | (734) 998-9640 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4934 MasterCard | View Form | ||||||||
| Hannah | Port | taschka.sylvia@gmail.com | (734) 358-9231 | 7 | Sylvia Taschka | (734) 258-9231 | Mother | Andrew Port | (734) 389-5952 | Father | None | Howard | (734) 453-5600 | Bibik | (734) 998-9640 | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4934 MasterCard | View Form | |||||||
| Noemie | Wurster-Dillard | dillardmarguerite@gmail.com | (248) 679-2227 | 2 | Remy Wurster | (248) 826-0715 | Dad | Marguerite Dillard | (248) 679-2227 | Mum | none | Dr Cook IHA Pediatrics | (734) 769-3896 | Dr Cook IHA Pediatrics | (734) 769-3896 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0267 Visa | View Form | |||||||
| Lillian | Fox | schultz@aaps.k12.mi.us | (734) 223-0437 | 1 | Ellen Schultz-Fox | (734) 223-0437 | Mom | Bob Fox | (313) 952-3185 | Dad | None | Nicole Frei | (734) 434-3000 | Shannon Norman-Kotre | (734) 677-2156 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7626 Visa | View Form | ||||||||
| Sherien | Jabir | sherienjr@gmail.com | (609) 903-9232 | Adult | Senith Rathanayke Mudiyanselage - 3rd grade | Priyan Rathnayake | (734) 546-3272 | Spouse | Sherien Jabir | (609) 903-9232 | self | none | Christine Ann Perrson | (734) 998-7380 | none | (609) 903-9232 | T-shirt Distribution | Yard Sign/Poster Distributor | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0234 Visa | View Form | |||
| Senith | Rathnayake Mudiyanselage | sherienjr@gmail.com | (609) 903-9232 | 3 | Sherien Jabir | (609) 903-9232 | Mother | Priyan Rathnayake | (734) 546-3272 | Father | no allergies or medication | Kelly Abraham Orringer | (734) 232-2600 | Dr Clark | (734) 971-3368 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0234 Visa | View Form | ||||||||
| Adeola | Adefeso | 2026adefesoadeolaj@aaps.k12.mi.us | (173) 497-2628 | 5 | Lola Adefeso | (734) 972-6280 | Mom | Kay | (734) 972-6692 | Dad | Peanuts, Tree nuts, Sesame, Soy | Elizabeth Stone | (734) 434-4000 | UM Faculty Dental Associate | (734) 764-3155 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3005 American Express | View Form | ||||||||
| Amy | Creten | amyntuck@gmail.com | (734) 649-8941 | Adult | Jordan Tucker - 5th | Michael Tucker | (734) 649-8942 | Husband | Estelle Chiari | (717) 350-5059 | Friend | penicillin | Dr. Melissa Sokol-Keith | (734) 971-1188 | Dr. Eric Peacock | (734) 439-1543 | Ticket and Concessions Sales | T-shirt Distribution | Child Room Supervisor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX6668 MasterCard | View Form | |||
| Jordan | Tucker | amyntuck@gmail.com | (734) 649-8941 | 5 | Amy Creten | (734) 646-8941 | Mother | Michael Tucker | (734) 649-8942 | Father | penicillin allergy | Dr. Karen Brenner | (734) 434-3000 | Dr. Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX6668 MasterCard | View Form | ||||||||
| Christopher | Briggs | christophertbriggs@gmail.com | (734) 276-5146 | 10 | Tracy Briggs | (734) 355-4056 | Mother | Larry Briggs | (734) 604-9850 | Father | None | Green Tree Pediatrics | (734) 769-3702 | Dr Ray Maturo | (734) 663-2490 | Props Set Painting and Building Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4722 Visa | View Form | ||||||
| Corentin | Cras-Meneur | cortig@cortig.net | (734) 545-0714 | Adult | Eloise Cras Matthieu Cras | Lynda Elghazi-Cras | (734) 277-0616 | Wife | Corentin Cras-Meneur | (734) 545-0714 | self | Latex, Penicillin | Family Medicine at Domino's Farms | (734) 647-5680 | Schaub | (734) 761-1194 | Ticket and Concessions Sales | Ticket and Concessions Sales | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4086 Visa | View Form | |||
| Tracy | Briggs | tracybriggs10@comcast.net | (734) 929-4107 | Adult | Hannah Briggs | (734) 730-5088 | Daughter | Leslie Notargiacomo | (734) 281-4740 | Mother | Penicillin | Dr Peter Paul | (734) 994-7446 | Choice Dental | (734) 929-9100 | Set Painting and Building | Props | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4722 Visa | View Form | ||||
| Lynda | Elghazi-Cras | lelghazi@cortig.net | (734) 277-0616 | Adult | Eloise Cras Matthieu Cras | Lynda Elghazi-Cras | (734) 277-0616 | self | Corentin Cras-Meneur | (734) 545-0714 | Husband | Betadine, Latex | Family Medicine at Domino's Farms | (734) 647-5640 | Schaub | (734) 761-1194 | Ticket and Concessions Sales | T-shirt Distribution | DVD Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4086 Visa | View Form | |||
| Matthieu | Cras | lelghazi@cortig.net | (734) 277-0616 | 2 | Lynda Elghazi-Cras | (734) 277-0616 | Mother | Corentin Cras-Meneur | (734) 545-0714 | Father | Pennicillin | A Musci | (734) 647-5680 | Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4086 Visa | View Form | ||||||||
| Eloise | Cras | lelghazi@cortig.net | (734) 277-0616 | 6 | Lynda Elghazi-Cras | (734) 277-0616 | Mother | Corentin Cras-Meneur | (734) 545-0714 | Father | Pennicillin | A Musci | (734) 647-5680 | Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4086 Visa | View Form | ||||||||
| Wenjing | weng | wenjingweng@gmail.com | (480) 335-8119 | Adult | Melinda Mei, 7th Jonathan Mei, 3rd Melody Mei, K | Pat Li | (734) 644-6355 | friend | Lan Weng | (480) 336-3688 | mom | NA | NA | (480) 336-3688 | NA | (480) 336-3688 | Child Room Supervisor | Cast Refreshments Crew | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7810 Visa | View Form | |||
| Melody | Mei | wenjingweng@gmail.com | (480) 335-8119 | K | Wenjing Weng | (480) 335-8119 | mom | Pat Li | (734) 644-6355 | Friend | NA | Montemayor | (734) 769-3896 | Li He | (734) 622-0535 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7810 Visa | View Form | ||||||||
| Jonathan | Mei | wenjingweng@gmail.com | (480) 335-8119 | 3 | Wenjing Weng | (480) 335-8119 | mom | Pat Li | (734) 644-6355 | Friend | NA | Montemayor | (734) 769-3896 | Li He | (734) 622-0535 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7810 Visa | View Form | ||||||||
| Melinda | Mei | wenjingweng@gmail.com | (480) 335-8119 | 7 | Wenjing Weng | (480) 335-8119 | mom | Pat Li | (734) 644-6355 | Friend | NA | Montemayor | (734) 769-3896 | Li He | (734) 622-0535 | Child Room Supervisor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7810 Visa | View Form | |||||||
| David | Stouffer | dstouff@gmail.com | (858) 344-9417 | Adult | Gina Stouffer | (734) 717-1812 | Spouse | Cathy Finnerman | (269) 689-9303 | Mother in Law | none | Oberdoerster | (734) 994-7446 | none | (111) 111-1111 | Set Painting and Building | Stage Crew | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0579 Visa | View Form | ||||
| Stephen | Cheon | kyungee93@gmail.com | (734) 358-1396 | 2 | Min Kim | (734) 358-1396 | Mother | John Cheon | (734) 999-6110 | Brother | None | Esther young-ae Yoon | (734) 844-5400 | Ann arbor pediatric Dentistry | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8245 Visa | View Form | ||||||||
| Bidisha | Ghosh | bghosh@gmail.com | (202) 306-6639 | Adult | Kartik Prasanna | (202) 527-2732 | Husband | Reetuparna Das | (814) 404-6677 | friend | allergic to penicillin | Dr. Jill Schneiderhan | (734) 647-5640 | Matthew Schaub | (734) 761-1194 | Ticket and Concessions Sales | Yard Sign/Poster Distributor | DVD Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX9051 Visa | View Form | ||||
| Bruce | Morey | brucemorey.editor@gmail.com | (734) 476-3846 | Adult | Karen Morey | (734) 646-1872 | Wife | Daisy Morey | (734) 476-3192 | Daughter | none | Dr. Gary Peppin | (734) 761-2581 | Dr. Fourad Khan | (734) 677-0793 | Stage Crew | Stage Crew | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX9781 MasterCard | View Form | ||||
| Hugh | Garton | garton@comcast.net | (734) 352-9730 | Adult | none | Mary Garton | (734) 717-9034 | wife | Catherine Garton | (734) 352-9730 | daughter | tends to lose fingers or shatter bones into tiny fragments. Usually recovers. | any doctor at UM | (734) 936-4000 | n/a | (734) 555-5555 | Yard Sign/Poster Distributor | T-shirt Distribution | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1387 Visa | View Form | ||||
| Mary | Garton | garton@comcast.net | (734) 717-9034 | Adult | none | Hugh Garton | (734) 649-0672 | husband | Catherine Garton | (734) 352-9730 | daughter | none | any doctor at UM | (734) 936-4000 | n/a | (734) 555-5555 | Choreographer | Costume Coordinator | Set Painting and Building | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1387 Visa | View Form | |||
| Valerie | Micol | vjfoster@umich.edu | (248) 882-0339 | Adult | Gabriella Foster, Grade 3 | Trever Hines | (217) 766-4445 | partner | Jennifer Micol | (517) 304-8678 | mother | None | Dr. Kristen Krieger | (734) 647-5670 | Dr. Emily Kennedy | (734) 677-8700 | T-shirt Distribution | Yard Sign/Poster Distributor | DVD Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX3076 Visa | View Form | |||
| Gabriella (Ella) | Foster | vjfoster@umich.edu | (248) 882-0339 | 3 | Valerie Micol | (248) 882-0339 | mother | Andrew Foster | (248) 880-1661 | Father | None | Dr. Kristen Krieger | (734) 647-5670 | Dr. Emily Kennedy | (734) 677-8740 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX3076 Visa | View Form | ||||||||
| Anoushka | Prasanna | kartik.prasanna@gmail.com | (202) 306-6639 | 3 | Bidisha Ghosh | (202) 306-6639 | Mom | Kartik Prasanna | (202) 527-2732 | Dad | None | Dr. Heather Burrows | (734) 647-5680 | Dr. Matthew Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9051 Visa | View Form | ||||||||
| Amaya | Melendez | torilmelendez@gmail.com | (734) 344-9766 | 10 | Tori Melendez | (734) 344-9766 | parent | Robert Melendez | (313) 673-2688 | parent | n/a | Burrows | (734) 936-4000 | Wilson | (734) 936-4000 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4247 Visa | View Form | ||||||||
| Jenny | Zhang | lwzhang2014@gmail.com | (734) 747-4637 | 3 | Lin Wang | (734) 747-4637 | Mother | Jinying Zhang | (734) 272-6884 | Father | no | Amy Cook | (734) 769-3896 | Yan Wang | (734) 249-8562 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX9468 Discover | View Form | ||||||||
| Fang | Chung | chungfangchi@gmail.com | (734) 663-0112 | Adult | Thalys Shiue, 3rd grade | Johnson | (248) 449-2180 | Spouse | Shuyuan | (734) 971-5255 | Friend | None | Dr. Jacobson | (734) 647-5670 | Excel dental | (734) 929-9999 | Child Room Supervisor | Set Painting and Building | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1339 MasterCard | View Form | |||
| Thalys | Shiue | chungfangchi@gmail.com | (734) 663-0112 | 3 | Fang | (734) 663-0112 | Mother | Johnson | (248) 449-2180 | Father | None | Dr. O’Donell | (734) 647-5670 | Dr. Raymond | (734) 663-2490 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1339 MasterCard | View Form | ||||||||
| SUIN | JU | jusuin42@gmail.com | (734) 604-4349 | Adult | Juhyeok Kang(4th Grade) | SEUNGGON KANG | (248) 993-0001 | Daniel Kim | Seohyun You | (734) 717-2838 | Timothy Lee | None | Joungwook Lee | (734) 221-3124 | Yoon Choi | (734) 929-9910 | Child Room Supervisor | Child Room Supervisor | Child Room Supervisor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4710 Visa | View Form | |||
| Juhyeok | Kang | jusuin42@gmail.com | (734) 604-4349 | 4 | Seunggon Kang | (248) 993-0001 | Daniel Kim | Seohyun You | (734) 717-2838 | Timothy Lee | None | Joungwook Lee | (734) 221-3124 | Dr. Choi | (734) 929-9910 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4710 Visa | View Form | ||||||||
| Deanna | Lernihan | deesaks1@gmail.com | (517) 488-6993 | Adult | Anthea Sakamoto - Grade 7 | Jeff Sakamoto | (517) 488-6993 | Husband | Westin Sakamoto | (517) 303-2507 | Son | Asthma | Dr. Binju Joel | (743) 995-0303 | Dr. Natalie Henke | (734) 971-6400 | Cast Refreshments Crew | Children Cast and Children's Cast Party Refreshment Crew | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8498 Visa | View Form | |||
| Katie | Garvey | garveyk07@gmail.com | (810) 348-2486 | Adult | Hailey Garvey grade 6 | Matt Garvey | (734) 812-0595 | Husband | Katie | (810) 348-2486 | Self | None | Dr Patel | (734) 981-3200 | Dr Hall | (734) 930-4022 | T-shirt Distribution | Costume Coordinator | DVD Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX7808 MasterCard | View Form | |||
| Anthea | Sakamoto | deesaks1@gmail.com | (517) 488-6993 | 7 | Deanna Lernihan | (517) 488-6993 | Mother | Jeff Sakamoto | (517) 488-6994 | Father | Exercise-induced asthma. | Dr. Amy Cooke | (734) 769-3896 | Dr. Natalie Henke | (734) 971-6400 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8498 Visa | View Form | ||||||||
| Sophie | Gibson | 2025gibsonsophieg@aaps.k12.mi.us | (419) 386-9586 | 6 | Sara Gibson | (419) 304-4378 | Mom | Adam Labowitch | (810) 240-3117 | Friend | None | Peds | (419) 291-2121 | Posluszny | (419) 475-6554 | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5016 MasterCard | View Form | |||||||
| Hailey | Garvey | garveyk07@gmail.com | (810) 348-2486 | 6 | Katie Garvey | (810) 348-2486 | Mother | Matt Garvey | (734) 812-0595 | Father | allergic to medicine ending in cillin | Dr Roy Rosen | (734) 434-3000 | Dr Kim | (734) 662-1591 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7808 MasterCard | View Form | ||||||||
| Bailey | Gibson | smg2181@yahoo.com | (419) 386-9586 | 6 | Sara Gibson | (419) 304-4378 | Mom | Adam Labowitch | (810) 240-3117 | Friend | None | Toledo PEDS | (419) 291-2121 | Poslunszy | (419) 475-6554 | Props | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX5016 MasterCard | View Form | |||||||
| Sara | Gibson | smg2181@yahoo.com | (419) 304-4378 | Adult | Bailey Gibson Sophie Gibson | Adam Labowitch | (810) 240-3117 | Partner | Dan Gibson | (419) 913-9286 | Ex husband | Allergic to penicillin | N/A | (000) 000-0000 | Dr. Posluszny | (419) 475-6554 | Props | Stage Crew | Backdrop Puller | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX5016 MasterCard | View Form | |||
| Aspen | Fields | allison.d.jeter@gmail.com | (936) 689-0904 | 8 | Allison Jeter | (936) 689-0904 | Mom | Daniel Schneider | (512) 762-2985 | Dad | N/A | Musci | (734) 647-5680 | Hall | (734) 930-4022 | Lighting Assistant Spot Lights Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4116 Visa | View Form | ||||||
| Allison | Jeter | allison.d.jeter@gmail.com | (936) 689-0904 | Adult | Aspen (8th) Amelia (2nd) | Dan Schneider | (512) 762-2985 | Husband | Gina Schneider | (734) 292-1377 | Sister in Law | N/A | Prussack | (734) 647-5640 | Hall | (734) 930-4022 | T-shirt Distribution | Yard Sign/Poster Distributor | Costume Coordinator | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX4116 Visa | View Form | |||
| Amelia | Schneider | allison.d.jeter@gmail.com | (936) 689-0904 | 2 | Allison Jeter | (936) 689-0904 | Mom | Daniel Schneider | (512) 762-2985 | Dad | N/A | Musci | (734) 647-5680 | Hall | (734) 930-4022 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX4116 Visa | View Form | ||||||||
| Ana | Branski | pbranski@gmail.com | (734) 218-5320 | K | Pawel Branski | (734) 218-5320 | Father | Yelinda Yap | (248) 982-8049 | Mother | Non | Adrienne T Musci | (734) 647-5680 | Matthew L. Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7442 Visa | View Form | ||||||||
| Sofia | Branski | pbranski@gmail.com | (734) 218-5320 | 5 | Pawel Branski | (734) 218-5320 | Father | Yelinda Yap | (248) 982-8049 | Mother | None | Adrienne T Musci | (734) 647-4680 | Matthew L. Schaub | (734) 761-1194 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX7442 Visa | View Form | ||||||||
| Sarah | Thompson | tyrannosarahs@gmail.com | (734) 277-5242 | Adult | Elizabeth Thompson - 7th grade Jacob Thompson - 4th grade | Dan Thompson | (734) 546-5572 | spouse | Julie Cover | (248) 852-4136 | mom | none | Kimberly O'Donnell | (734) 647-5650 | Crimson Maple Dental | (586) 264-2592 | Child Room Supervisor | Costume Coordinator | Make-up Artist | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX1487 Visa | View Form | |||
| Jacob | Thompson | tyrannosarahs@gmail.com | (734) 997-0779 | 4 | Sarah Thompson | (734) 277-5242 | mom | Dan Thompson | (734) 546-5572 | dad | None | Heather Burrows | (734) 647-5680 | Crimson Maple Dental | (586) 264-2592 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1487 Visa | View Form | ||||||||
| Elizabeth | Thompson | tyrannosarahs@gmail.com | (734) 997-0779 | 7 | Sarah Thompson | (734) 277-5242 | mom | Dan Thompson | (734) 546-5572 | dad | Vasovagal syncope - will faint if she becomes dehydrated | Heather Burrows | (734) 647-5680 | Crimson Maple Dental | (586) 264-2592 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1487 Visa | View Form | ||||||||
| Sitara | Baxendale | meenub@umich.edu | (734) 216-2579 | 9 | Meenu Baxendale | (734) 678-7829 | Mother | Harold Baxendale | (734) 678-7828 | Father | none | Dr. Amy Cooke | (734) 769-3896 | Dr. Raymond Maturo | (734) 663-2490 | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1005 American Express | View Form | |||||||
| Olivia | McClintock | gjchae@gmail.com | (773) 505-9340 | 2 | Grace Chae | (773) 505-9340 | Mother | David McClintock | (773) 405-9340 | Father | None | Ashleigh El Sakr | (734) 998-7380 | Somya Ramakrishna | (734) 206-2066 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX8650 Visa | View Form | ||||||||
| Grace | Chae | gjchae@gmail.com | (773) 505-9340 | Adult | Olivia McClintock - 2nd | David McClintock | (773) 405-9340 | Husband | Jun Chae | (773) 504-4061 | Father | None | Caroline Bergland | (734) 998-7380 | Somya Ramakrishna | (734) 206-2066 | T-shirt Distribution | Ticket and Concessions Sales | Cast Refreshments Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX8650 Visa | View Form | |||
| Patrice | Fort | pfortfr@gmail.com | (717) 350-4918 | Adult | Samuel Fort Claire Fort | Estelle Chiari | (717) 350-5059 | Wife | Corentin Cras-Meneur | (734) 545-0714 | friend | none | iha domino's farm | (734) 995-0303 | Kim Rice | (734) 434-3820 | Set Painting and Building | Backdrop Puller | Stage Crew | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1111 Visa | View Form | ||||
| Estelle | Chiari | echiarifort@gmail.com | (717) 350-5059 | Adult | Samuel Fort (5th) Claire Fort (3rd) | Patrice Fort | (717) 350-4918 | Husband | Amy Creten | (734) 649-8941 | friend | Asthma, allergies to Penicillin, latex and beet/swiss chard Carries an epipen | Binju Joel | (734) 995-0303 | Kim Rice | (734) 434-3820 | Set Painting and Building | Props | Yard Sign/Poster Distributor | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1111 Visa | View Form | ||||
| Claire | Fort | echiarifort@gmail.com | (717) 350-5059 | 3 | Estelle Chiari | (717) 350-5059 | Mother | Patrice Fort | (717) 350-4918 | Father | none | Patrick Gordon | (734) 769-3896 | Kim Rice | (734) 434-3820 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX1111 Visa | View Form | ||||||||
| Samuel | Fort | echiarifort@gmail.com | (717) 350-5059 | 5 | Estelle Chiari | (717) 350-5059 | Mother | Patrice Fort | (717) 350-4918 | Father | none | Gordon | (734) 769-3896 | kim Rice | (734) 434-3820 | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0892 Visa | View Form | ||||||||
| Alex | VanLaven | hawkfirequeen@gmail.com | (734) 769-0586 | 9 | Christine Boltz | (734) 383-3091 | Parent | Joel VanLaven | (734) 846-3787 | Parent | Sertraline for anxiety Guanfacine for Tourette's | Dr. Williams | (734) 647-5640 | Dr. Heys | (734) 668-7157 | Costume Coordinator | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | XXXXXXXXXXXX0835 Visa | View Form | |||||||
| Christine | Boltz | christineboltz143@gmail.com | (734) 383-3091 | Adult | Alex VanLaven, grade 9 | Joel VanLaven | (734) 383-3091 | Spouse | John or Becki Macorkindale | (734) 223-8324 | Thurston Player Family | Meds: Sertraline for anxiety, Ropinirole for restless legs No allergies | Dr. Prussack | (734) 647-5640 | Dr. Heys | (734) 668-7157 | Costume Coordinator | Graphic Designer | Ticket and Concessions Sales | As parent(s) or guardian(s) of a play participant, or adult participant(s) and volunteers, I (we) understand and agree that execution of this document constitutes a full release and waiver of liability as stated above and authorization for my child, child under my guardianship, and/or me to participate in The Thurston Play. | $ 10.00 | XXXXXXXXXXXX0835 Visa | View Form |