MASQUE COMMUNITY THEATRE
AUDITION FORM
PRODUCTION ______________________________________________
DATE AUDITIONED ________________
(PHOTO HERE)
NAME________________________________
ADDRESS_____________________________
CITY__________________________________
STATE______ZIP_________________
TELEPHONE (HM)_____________________ (WORK)____________________________
CELL_________________________
EMAIL ADDRESS________________________________
EMPLOYEERS NAME_________________________________
AGE ________ BIRTH DATE___________ HEIGHT__________ HAIR COLOR_________
LIST PREVIOUS REPRESENTATIVE PERFORMING EXPERIENCE (use back if needed)
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(Musical Auditions Only)
Vocal Range 1st Soprano ______ 2nd Soprano______ Alto______ Tenor_______ Bass________
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Piano Range from ________ to ________ (will be filled out by Music Director)
Unless you specifically audition for a certain role you will be considered for all roles. If you are
interested in auditioning for a specific Role please list here:_______________________________
You must answer this question before you audition! I will accept any role Yes ______ No______
(if you answered no) The only roles I will accept are __________________________________
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Please list below any schedule conflicts you may have, starting from the Monday following auditions. If you have no conflicts, please write NONE. Please be truthful in listing your conflicts, as casting decisions sometimes comes down to who’s most available. (Although we can work around some conflicts. In fairness to everyone no additional conflicts, not written down on this form will be allowed.)
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***Additional Releases information needed***
WAIVER OF LIABILITY
Do you have any physical problems which would prevent you from doing strenuous physical activity? (bad back, knees, etc.)
If yes, please list.__________________________________________________
Do you have any allergies, or anything else we should be aware of? ___________________________
___________________________________________________________________________________
I, ______________________________, hereby release MCT, its staff, sponsors and the Board of Directors from any claims for damages or injuries suffered by me as a result of my participation in this activity.
If the actor is a minor….
I, _______________________________, the legal parent or guardian of __________________________ Hereby consent to permit and accept responsibility for emergency medical treatment in the event of injury or illness.
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Signature of participant Date
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Signature of parent or guardian Date
PHOTO RELEASE
I hereby give my consent to have photos or video of me used for any publicity, marketing , or historical records deemed by the Market House Theatre to be necessary.
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Signature of participant Date
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Signature of parent or guardian Date
