Inglewood Middle School Play Audition Form - Studio East SchoolStage 24-25

ACTOR INFORMATION

Student First Name *

Student Last Name *

Grade: *

Gender *

Is this actor comfortable potentially playing another gender that isn't their own?
(Example: the role of Peter Pan, while a boy, is traditionally played by a girl in most stage versions.) *

Is the actor comfortable singing a solo in the play? Note: many lead characters sing solo in the play, but not all actors feel comfortable with this! Please ask your actor and don't assume they will want to. *

Yes

No No

Street Address *

City *

Zip Code *

If you give permission to use photos or videos of your child for publicity purposes, enter yes here. If you do not give permission, enter no here. It is unlikely this will be the case, but it is good to know. Photos from shows can help Studio East with grant applications, etc. *

CONFLICT INFORMATION

Please open the link to refer to the rehearsal and performance calendar for your school:

Matilda Jr. the Musical - Inglewood Middle

All performances are MUST-ATTEND. There should also be NO CONFLICTS the final week of rehearsals (tech week). It is vital that we give the students time to practice as a full cast to prepare them for a successful weekend of shows! (if your child has weekly lessons or sports (for example) plan to reschedule that week.

Do you have any conflicts with this production? *

Yes

Please list ALL conflicts below. Including full days unavailable and days with partial availability. If you have partial availability please note the time you would arrive or leave rehearsal. (ex. Mondays arrive at 6:30pm)
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We assume all reocurring conflicts end starting with our NO CONFLICT period (Week 6 and Performances)

CONFLICTS: *

AUDITION INFORMATION (actors only; not required for stage crew)

OPTIONAL: List any special skills, such as singing, dancing, or gymnastics experience:

OPTIONAL: Any previous acting experience? (It's totally okay if not!)

Upload student's photo here (it can be a headshot, school photo, or a photo taken on a phone) *

MEDICAL / ALLERGY / BEHAVIOR INFO

Any medical/allergy information we should know about your child?

Medical/Allergy Notes:

Does your child have any social-emotional characteristics we should know about?

Social/Emotional Notes:

GUARDIAN INFORMATION

The primary phone and email will be released to other cast families.

PRIMARY Phone Number *

PRIMARY Email Address *

Please double-check that your primary email address is spelled correctly.

PARENT / GUARDIAN #1

Guardian 1 Name *

Guardian 1 Relationship to Student *

Guardian 1 Phone (if different than primary)

Guardian 1 Email (if different than primary)

PARENT / GUARDIAN #2

Guardian 2 Name

Guardian 2 Relationship to Student

Guardian 2 Phone (if different than primary)

Guardian 2 Email (if different than primary)

EMERGENCY CONTACT

When injury, illness, or other emergency situations involving your child occur, we want to be able to quickly reach either parents/guardians or a responsible adult. In the event we cannot reach both parents/guardians, please list a person you trust who are available during the day to provide care for your child, including day care contact.

Student Release Authorization: In the event STUDIO EAST is unable to contact the parent/guardian, I authorize them to release my child to the person listed below.

Name *

Relationship *

Phone *

AUTHORIZATION

Please review our EMERGENCY AND MEDICAL AUTHORIZATION and select "Yes, I Agree" to continue.

Do you agree to Studio East's EMERGENCY/MEDICAL AUTHORIZATION Agreement? (Click to View) *

Yes, I Agree

Type your name here to verify and accept the information on this form. *

Date (mm/dd/yyyy) *