Performer Registration Form | Warrick County Summer Musical

2020 Student Registration Form and Parent Authorization

Please make sure to complete all fields before hitting submit.

DO NOT REGISTER USING A WARRICK COUNTY SCHOOL CORPORATION EMAIL ADDRESS OR EVSC EMAIL ADDRESS. USE A PERSONAL EMAIL ADDRESS.

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Warrick County Summer Musical Performer Registration Form

Student Registration Information

Please complete all fields.
Please note: You will need a parent/guardian's assistance and authorization when completing this form.

Student First Name

Student Last Name

Date of Birth (Student)

Student Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

County

Home Phone

Student's Mobile Phone

Preferred Pronoun

Student Grade 19-20 School Year (only current grades 8-12 allowed)

School

Student T-Shirt Size (included with registration/acceptance)

Vocal Audition Skillset Information

Please complete the following the best of your ability

Vocal Range

Can you read music?

Vocal Experience

Private Vocal Lessons

Yes

Vocal Instructor

Vocal Lessons Number of Years

Vocal Awards/Honors/Performances

Have you been a member of a choir? If yes, which one?

Dance Audition Information

Please complete this section to the best of your ability

Ballet Ability

Jazz Ability

Tap Ability

Do you compete in competitive dance?

Yes

Private Dance Lessons

Yes

Dance Instructor/Location/Studio

Dance Lessons Number of Years

Dance Awards/Honors/Performances

Acting Audition Information

Please complete this section to the best of your ability

Skills / Specialities

Performance Experience

Private Acting Lessons

Yes

Acting Coach / Instructor

Acting Lessons Number of Years

Acting Awards/Honors/Performances/Previous Shows

Additional Required Student Information and Acceptance

Please complete fully.

Please list any conflicts between June 1 and July 20 (specifically evenings and after 4 p.m.)

Preferred Date of Audition

I will accept any role.

Yes

If no, what roles will you accept?

Headshot - please upload a clear shoulder to top of head photo

Choose File

STUDENT AGREEMENT: Please type your complete first and last name in agreement that all information is true and all permissions have been received before completing this form. You agree to abide by all school rules and rules governing the Warrick County School Corporation and the Warrick Public Education Foundation, its teachers and staff.

Parent Authorization Information

Parent/Guardian Information

Parent/Guardian 1 - First Name

Parent/Guardian 1 - Last Name

Parent/Guardian 1 - Best Email Contact

Parent/Guardian 1 - Best Contact Number

Parent/Guardian 2 - First Name

Parent/Guardian 2 - Last Name

Parent/Guardian 2 - Best Email Contact

Parent/Guardian 2 - Best Contact Number

Emergency Contact Information

Complete only if this is different from the parent/guardian information already entered

Emergency Contact - First Name

Emergency Contact - Last Name

Relationship to student

Emergency Contact - Best Contact Number

Student Medical Information

Please complete as fully as possible.

Note any medical conditions, special needs, allergies, etc.

Current prescription information (Please include whether this will be taken during rehearsals, any refrigeration needs, etc)

Hospital preference

Do you grant participation for your student including media authorization and any necessary, emergency medical treatment?

Yes

Electronic Authorization - PARENT/GUARDIAN ONLY (Type first 4 letters of your last name and 2 digit month and 2 digit year of your birth -- SMIT0259)

Full name of authorizer

Relationship to student

Volunteering / Parent Participation

We need assistance from parents to make this show a success and take the burden off the students and staff. Volunteers make this program successful. Please let us know if you are willing to volunteer and what areas are of interest to you.

Are you able to volunteer in some aspect?

Yes

Please select all the areas you may be interested in.

Concessions

Company Meals

Staff Meals

Sponsorship/Advertising/Marketing

Publicity

Ticket Selling

Costuming

Set creation / construction

Please share any additional information that may be helpful to volunteering opportunities, sponsorship or show development.