Previous Acting, Singing, Dancing Experience (Or Attach Resume, If Available)

Please print clearly Name: Date: Street Address: City: State: Zip Preferred phone: Secondary phone: E-mail: Age: Height: Hair color:

Previous acting, singing, dancing experience (or attach resume, if available):

Show Role Theatre/School

(Continue on back, if needed) Availability: Because of the concentrated rehearsal schedule as well as the rehearsal and two performances scheduled for March 10, it is critical that you list any conflicts with the dates and times listed below. Conflicts will not disqualify you from being cast, but may affect in which role you are cast. Are you available on Saturday, March 10 from 8:30am to 2:30pm for rehearsal and performances?

YES NO Rehearsals are scheduled Mon-Fri, 4-6pm for two weeks: February 26-March 2 and March 5-9. Please list any conflicts for these dates (use back of this page if needed:

Special skills: (list any unusual skills such as accents, whistling, tumbling, etc.) Also, please tell us if you like to sing and/or dance.

Do you play a musical instrument? Please name instrument and skill level (beginner, moderately well, well):

How did you hear about these auditions? (Circle as needed) Newspaper Email Friend/Family

Former Cast Member Newtown Arts Website Facebook Twitter Other:______

NOTE: If you are cast, you must become a member of Newtown Arts Company for insurance purposes. Membership costs $25 per year and covers your entire family. Please initial here______(a parent may initial for younger actors).

Proceeds from our shows fund scholarships for young people studying the performing and fine arts at the post-secondary level. Production Release Form

Participant’s Name:______

I hereby give the above named participant(s) permission to participate in the Classics for Kids program sponsored by Newtown Arts Company. In consideration of participation in the above named program, I/we do hereby agree to hold harmless both Newtown Arts Company and the Newtown Theatre, as well as their employees, agents, and volunteers against any claims for and on account of any and all injuries sustained as a result of participation in the above named program. In addition, I give my permission to have medical personnel and/or physician treat and/or transport.

Persons other than a parent or legal guardian permitted to pick up children must be authorized in writing by the parent or legal guardian and submitted to the program supervisor. For their protection, children will not be released to anyone not on file with Newtown Arts Company.

The following person(s) are authorized to pick up my child(ren). Identification may be requested:

Photo Release/Permission to Use Photo

I grant to Newtown Arts Company the right to take photographs of me/my child in connection with the above- identified event. I authorize Newtown Arts Company, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Newtown Arts Company may use such photographs of me/my child with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. Such use of any and all photographs shall be limited to marketing and promotion of Newtown Arts Company.

Signature of Parent/Guardian:______

Date:______