Audition and Registration Form for A Midsummer Night’s Dream Student Name * First Name Last Name Gender Pronouns Best Email Address to Reach You * Student Phone * (###) ### #### What School(s) Do You Attend? * Please indicate dual enrollment if it applies. (This just helps me know more about you.) Grade 9 10 11 12 Student Birthdate MM DD YYYY Parent/Guardian #1 Name * First Name Last Name Parent/Guardian #1 Relationship to Student * Parent/Guardian #1 Email * Parent/Guardian #1 Phone * (###) ### #### Parent/Guardian #2 Name First Name Last Name Parent/Guardian #2 Relationship to Student Parent/Guardian #2 Email Parent/Guardian #2 Phone (###) ### #### Additional Emergency Contacts, if any Any allergies you'd like us to be aware of be aware of? Any additional health concerns you'd like us to be aware of? Regarding Photo Publicity * I GRANT PERMISSION for my child's image AND any other personal identifiers to be published on the CET or CHS Website or in a news publication I GRANT PERMISSION for my child's image WITHOUT any other personal identifiers to be published on the CET or CHS Website or in a news publication. I DO NOT GRANT PERMISSION for my child's image to be published on the CET or CHS Website or in a news publication Name of Parent/Guardian signing photo permissions * Short Term Conflicts Please share information about short term conflicts in September-November, including weekends (for example, you'll be orbiting the Earth October 5-7). No conflicts? Just type N/A. Be as thorough as possible. Long Term Conflicts Please share information about long term conflicts in September-November, including weekends (for example, you have a hula hooping class every Tuesday from 5-6 pm). No conflicts? Just type N/A. Be as thorough as possible. Special Skills Do you have any special skills that you'd like us to know about (for example: dance, gymnastics, vocal training, play instruments, etc)? Accessibility/Mobility Do you have any concerns or questions about accessibility and/or mobility? Do you use a mobility aid (like a cane or a wheelchair)? Is there anything we should know about your needs as we design our set and rehearsal plans? Please share that here, and Emily may follow up to have a longer conversation. Among the available roles, is there a role that you do NOT want to play? Do you have strong feelings about the gender of the role you are assigned? Please note, for Midsummer, gender is particularly fluid - this is still helpful for Emily to know, though. Anything Else? Is there anything else you'd like the director to know about you that will help her understand how best to work with you? Thank you! Don’t forget to sign up for an audition slot, if you haven’t done so.Return to Login
