WORKSHOP REGISTRATION

ACT THEATER SUMMER YOUTH WORKSHOP

* Indicates required field

Email *

Student Name *

First

Last

Parent/Guardian Name *

First

Last

Phone Number *

If not cast in your preferred role, would you accept any other role? *

Yes, I'm flexible, place me where needed! No, if not chosen for role above, I'll wait for a future production or workshop

Please list any previous theater experience (if any) *

Please list any special talents or skills you feel would be relevant to a theater production (if known) *

Commitment Level -Since we are a community theater, we have no paid staff members. Everyone, including the Director, is a volunteer. Theater in general is a collaborative art. It isn’t about the actor – it’s about the team. In order to be a great actor, you NEED all the other actors and crew. Therefore it is imperative that every cast and crew member is committed to the production schedule. Please confirm your availability for all rehearsals, stage setup/tear down and performance dates BEFORE you audition. If you have any conflicts, please list them below. below. *

Yes, I have confirmed my availabilty for all dates on the Production Schedule No, I have conflicts as listed below

After reviewing the Production Schedule, I will not be available for the following dates/times. (Enter NONE if no conflicts) *

ACT IMAGE RELEASE - I grant my permission to photograph, record, publish, print, post, and/or reproduce my, or my minor child's, image/name in all forms of media associated with the promotion of ACT, relating, but not limited to, rehearsals, performances and press releases. I heareby indemnify and hold harmless against any and all claims of damages arising out of taking or use of pictures of myself or my minor child. Please type adult name and date below to accept ACT IMAGE RELEASE. *

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