Please note ALL FIELDS MUST BE COMPLETED.
If you cannot complete the field please enter NA in the space provided.
Which Production are
you interested in?
Your E-Mail:
First Name:
Last Name:
Sex:
Male Female
Age:
Mailing Address:
City/Prov:
Postal Code:
Parent/Guardian Name:
Additional contacts:
Email 1 Phone 1
Email 2 Phone 2
School Attended:
Health Concerns:
List Performance Training:
Dance:
Yes No
Theatre:
Yes No
Voice:
Yes No
Instrumental:
Yes No
Gymnastics:
Yes No
Other:
List Performance Experience:
Production One:
Role:
School/Company:
Production Two:
Role:
School/Company:
Production Three:
Role:
School/Company:
Please list any other activities (dates, times and activities) that may conflict with the production of the show. Please specify session/location if applicable.
If you know that you will be on holidays through the summer please indicate:
From (mm/dd/yy): To (mm/dd/yy):
TO PARENTS: If your child is cast in the Production Parent participation is expected. Click Here for Parent Participation Policy
If so what would you be interested in:
I have read and agree to the terms and conditions in the Waiver Yes
PRIVACY: Theatrix Youth Theatre values your privacy. We do not divulge any information you provide to us to any third party. All information provided is kept in strictest confidence.
