Section 11.4. Application for permit

(a) Application for the special performance permit for a minor aged seven to 18 years shall be made by the employer on a form provided by the Department and signed by the employer of the minor and the parent or guardian of the minor.

(b) The application shall be notarized and contain a statement that the facts as set forth in the application are true and correct.

(c) The application shall set forth for all performances, accurate information regarding all of the following:

(1) The legal and professional name of the minor.

(2) The date and place of his birth.

(3) The name and permanent address of the parent or guardian and the name of the parent or representative of the parent who will accompany the minor to rehearsals and performances.

(4) The name and type of production.

(5) The nature of the performance of the minor.

(6) The dates of performances and the number of performances per day and per week as well as the length of time the minor is actually performing.

(7) The dates of rehearsals.

(8) The maximum combined rehearsal and performance time per day and per week.

(9) Whether the minor is to be paid for performing, whether there is remuneration other than financial, and whether he is to be paid by the week or the performance.

(10) The hours at which the minor reports for performances.

(11) Whether the total earnings of the minor from all sources exceed $150 per week and, if so, what provisions have been made for conservation of the earnings of the minor.

(12) The name and address of the booking agent of the minor, if any.

(13) Whether the minor has performed in the same production in other states requiring a permit or certificate to perform and whether the permit or certificate was obtained.

(d) For all performances or rehearsals during school hours the application shall set forth in addition accurate information regarding all of the following:

(1) The name and address of the school attended and of the school district where the minor resides.

(2) The grade he has completed in school.

(3) The hours per week the minor attends school.

(4) One of the following:

(i) A statement signed by the principal of the school attended and the school official who issues employment certificates in the school district where the minor resides attesting that to the best of their knowledge and belief the performance and rehearsals as set forth in the application will not interfere with the educational instruction or school progress of the minor.

(ii) A guarantee that arrangements are made for a qualified tutor for the minor. If the minor is to be tutored, the application shall set forth the name and address of the tutor, whether the tutor is a certified teacher, the name and address of the school official approving the subjects for tutoring and the tutoring arrangements, and the number of hours per week the minor is to be tutored.

(e) Applications shall contain other information as may be requested by the Bureau of Women and Children, Hours and Minimum Wages.