Please provide the following contact information:
First Name Last Name Parents First Name Mobile Phone Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone FAX E-mail
Please identify and describe yourself:
Name Age Sex Male Female Height Hair Color Blonde Brown Black Red Gray White Eye Color Blue Brown Black Green Gray Violet
Consent for photo in promotional materials: Yes
Please select the session(s) you desire:
Ensemble Program Principle Role for Honk Tech Class Improv Class Character Class Stage Combat Peewee Ballet Intermediate Ballet Peewee Jazz Intermediate Jazz Advanced Jazz Theatre Dance Stretch Class (recommended for principal roles)
Please select your voice type:
Soprano Mezzo-soprano Alto Tenor Baritone Bass Unknown
Do you have a vocal coach? If yes, who?
Do you have any known conflicts with the production schedule for this show? (Please include any vacations, classes, sports, events, concerts, etc.)
Are you in any other productions during the time of this production or plan to be?
How did you hear about our program?
Please List Acting Experience (include all school productions, community, and professional experience)
Please List Dancing Experience (include all school productions, community, and professional experience)
Please List Singing Experience (include all school productions, community, and professional experience)
Please list Special Talents/ Abilities and some of your hobbies and interests
