2012 Theatre Camp Audition Form FCT - Fauquier Community Theatre
2012 Theatre Camp Audition Form FCT - Fauquier Community Theatre
2012 Theatre Camp Audition Form FCT - Fauquier Community Theatre
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July 16-27, <strong>2012</strong>, 10a-230p<br />
Performance 7pm on Friday, July 27<br />
All campers must be available all camp days including the performance.<br />
<strong>Audition</strong> <strong>Form</strong><br />
Student’s Name: ________________________________ Birthdate:__________<br />
Age: ____________ School: ________________________Grade: __________<br />
Parents Names: _______________________________ Moblie: ________________<br />
Email: ______________________________________ Home Phone: ___________<br />
Address: ____________________________________________________________<br />
Does your child have any food or medicine allergies Describe______________________________________<br />
Is your child currently taking any medications Please list __________________________________________<br />
Emergency Contact:_______________________________ Phone: _____________<br />
Relation to child: _________________________________<br />
How did you hear about <strong>FCT</strong>’s Musical <strong>Theatre</strong> <strong>Camp</strong> _______________________<br />
Voice Type (circle one): HIGH LOW NOT SURE<br />
Height: _________________<br />
Please list any previous theatrical experience, dance lessons, choirs, music lessons,<br />
and/ or special talents here:<br />
<strong>Audition</strong>ing for (Circle all that apply):<br />
Mr. Warbucks Grace Miss Hannigan Rooster & Lily Orphans Annie<br />
Director’s notes (please leave blank):
July 16-27, <strong>2012</strong>, 10a-230p<br />
Performance 7pm on Friday, July 27<br />
All campers must be available all camp days including the performance.<br />
Release, Waiver of Liability, and Indemnity Agreement<br />
I hereby agree with <strong>Fauquier</strong> <strong>Community</strong> <strong>Theatre</strong> (<strong>FCT</strong>) to the following, by affixing my<br />
signature below on this date. In connection with my and my child’s participation in the Musical<br />
<strong>Theatre</strong> Summer <strong>Camp</strong> program (“Program”), I understand and acknowledge the nature and<br />
extent of the activities that will be involved in the Program and assume the risk inherent in such<br />
activities on behalf of myself and any minor children. I voluntarily waive any and all claims,<br />
costs, liabilities, expenses (including attorney’s fees), and judgments against <strong>FCT</strong>, their<br />
directors, officers, employees, servants, subcontractors and agents, and hereby release, excuse<br />
and discharge <strong>FCT</strong>, their directors, officers, employees, servants, subcontractors and agents from<br />
all claims, costs, liabilities, expenses (including attorney’s fees), and judgments which may arise<br />
out of my or my child’s participation in the Program and all aspects attendant thereto. The<br />
undersigned further agrees to indemnify and hold <strong>FCT</strong> their directors, officers, employees,<br />
servants, subcontractors and agents harmless from any and all claims, costs, liabilities, expenses<br />
(including attorney’s fees), and judgments which may arise out of my or my child’s participation<br />
in the Program.<br />
I am the parent or legal guardian of :<br />
__________________________________________________________ Name of Minor Child<br />
I am signing this agreement on behalf of said minor and acknowledge that in so doing, I am<br />
giving up legal rights and remedies that I, my spouse, a legal guardian for the minor, or the<br />
minor might have now or in the future.<br />
_____________________________________________________________________________<br />
_ Signature of Parent/Guardian Print Name of Parent/Guardian Date