Audition Registration Form: Charlotte's Web
Theater for Young Audiences
in Residence at
UW-Sheboygan
One University Drive
Sheboygan, WI, 53081
http://www.tyasheboygan.org
Participant Information
*
First Name
*
Last Name
*
Age
*
Sex
M
F
*
Birth Date
*
Grade Fall '08
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
adult
*
Address 1
Address 2
*
City
*
State
*
Zip
*
Phone
Alternate Phone
*
Email Address
*
County Resident? (you must live in or attend school in Sheboygan County or Kiel School District to participate in TYA activities)
Yes
No
Workshop
*
Which Workshop are you registering for?
Pizza & Painting December 10 4:30-6:00 UW Sheboygan Theater
Pizza & Painting December 17 4:30-6:00 UW Sheboygan Theater
Pizza & Painting January 7 4:30-6:00 UW Sheboygan Theater
Pizza & Painting January 14 4:30-6:00 UW Sheboygan Theater
Pizza & Painting January 21 4:30-6:00 UW Sheboygan Theater
Pizza & Painting January 28 4:30-6:00 UW Sheboygan Theater
Musical Theatre Workshop, Sat January 24 9am-noon at the Masonic Lodge
Wicked Bus Trip Feb 22 leave UW Sheboygan at 4:00, return around 11 pm
Page to Stage TBA
Lights, Camera Action TBA
Coffeehouse Theatre TBA
Household / Adult Primary Contact (or name of adult attending Pizza & Painting with youth)
*
Relationship to Participants: (if under the age of 18, a parent must fill this section out)
Self
Mother
Father
Guardian
Other
*
First Name
*
Last Name
*
Indicates Response Required
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