LEGALLY BLONDE, Jr./SUMMER ACADEMY REGISTRATION FORM
NAME__________________________________________________ AGE____________
SCHOOL ATTEND _________________________________ GRADE IN SCHOOL _______
PHONE (to text to) ____________________________ GENDER: MALE FEMALE
EMAIL _________________________________________________________________
ADDRESS____________________________CITY__________________ZIP__________
PARENT NAME__________________________________ CELL #___________________
(Please list main adult contact for child)
EMERGENCY CONTACTS
NAME/relationship_______________________________ CELL # ___________________
NAME/relationship_______________________________ CELL # ___________________
NAME/relationship_______________________________ CELL # ___________________
T-shirt Size: Youth S Youth M Youth L Adult: S M L XL
Clothing Sizes: Pants: ___________ Shirt: ____________ Shoe: _______________
LIST PRIOR STAGE/THEATER EXPERIENCES (acting, singing, dancing & where)
HAVE YOU TAKEN DANCE LESSONS? _______ # YEARS_____ TYPE _______________
STUDIO:
VOCAL PART (if known, circle): Soprano Alto Tenor Bass
PLEASE LIST ANY/ALL PARTS YOU ARE AUDITIONING FOR:
I AM INTERESTED IN: (circle) CHORUS DANCER SUPPORTING ROLL LEAD ROLL
I AM INTERESTED IN BACKSTAGE: (circle) STAGEHAND SET BUILD TECH
PLEASE LIST ANY DATES YOU WILL NOT BE AVAILABLE FOR REHEARSALS.
The Academy Sessions/Rehearsals will be held on Tuesdays, Wednesdays, and Thursdays (9:30-2:00) on June 21, 22, 23, 28, 29, 30, July 6, 7. Times will be announced for rehearsals on July 10, 11, 12, 13, 14. Leads/ensembles may have additional rehearsals during the week of June 6, week of June 13 and week of July 5. For the success of the show, all cast members will be expected to attend the 10 Academy dates in June and July.
Performance Dates are July 16 & 17.
List dates and explanations for any conflicts:
Would you use a Facebook closed group page? YES NO MAYBE
Any Allergies or Medical Conditions we should be aware of? _____________________
PARTICIPANT AGREEMENT: I will accept any role, participate in all scheduled rehearsals, and learn my parts, dances, and songs. I understand that if I miss a majority of rehearsals, it could mean I could be removed from my role. I will pay attention during rehearsal, be helpful to others, and be respectful to everyone during rehearsals and performances. I agree to these guidelines.
Participant Signature: ______________________________________________________
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PARENT AGREEMENT (for participants under 18 years of age): I will provide/arrange for transportation for rehearsals/performances and will be on time to drop off/pick up my child. I will inform the directors of any absences as far in advance as possible. I give permission to the Huber Opera House to post pictures online of my child during rehearsal for the purpose of publicity of the production. I will provide some clothing for costumes and agree to pay program fee ($150) *
I agree to these guidelines. Parent Signature: ____________________________________
AS A PARENT, I WOULD BE INTERESTED IN HELPING WITH: (circle all that apply)
COSTUMES/PROPS SET PRODUCTION TECH REHEARSAL ASSISTANT
OTHER: ____________________________________________
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Program Fee: cash _______ check #_______ date rec’d _____________
*Make checks payable to Huber Opera House. Program fee for additional children in same family may be reduced.
See Chris Feichter for details on availability of Huber Youth Theater Scholarships.