Audition Form

Name

First Name

Last Name

Birthday

YYYY

Phone

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

When are you Unavailable for Rehearsals?

Please List Any Previous Theatre Experience

Please list all allergies, learning styles, special needs, etc.:

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Section

Release: I, the undersigned do hereby release and discharge PPAC from any and all claims for personal injuries. I consent to surveillance video cameras in all public spaces of Presser. By entering my name below I agree to this release statement.

Release Name

First Name

Last Name

Agree to Use of Images

I give permission to Presser PAC to use any photographs or media of student in promotional materials, commercials, and on the web site

Yes

Please send a headshot/photo to katie@presserpac.com