Fill out this form online and print. Bring to your audition for priority seating! Date:
Appt. Time:
Scout:
NAME
FIRST:
LAST:
AGE:
PHONE H:
EMAIL:
PHONE C: ADDRESS:
CITY:
ZIP:
PARENT’S NAME
MOTHER:
FATHER:
PARENT’S OCCUPATION
MOTHER:
FATHER:
Circle which of the following area(s) you are most interested in? How did you hear about us?
ACTING
MODELING
SINGING
DANCING
HOW DO YOU CURRENTLY VIEW YOURSELF (OR YOUR CHILD)? K SHY K SHY BUT WARMS UP K A REAL HAM! K CONFIDENT K OUTGOING K CHARMING K WITTY K ABILITY TO MEET PEOPLE K EXPRESSIVE K SPONTANEOUS K POISED K FOLLOWS DIRECTION K MAKES EYE CONTACT K CREATIVE DESIRED RESULTS: WHICH ARE MOST IMPORTANT TO YOU AND OR YOUR CHILD? K CONFIDENCE K POISE K REPRESENTATION BY AGENT K PRINT WORK K ACTING K COMMERCIALS K MONEY FOR COLLEGE K DISCIPLINE K TO ENTERTAIN K LEARN SOMETHING NEW K TRAVEL K BECOME FAMOUS K FUN OTHER:___________________________________________________ PERSONAL INFORMATION: GRADE POINT AVERAGE:
SCHOOL:
(3.0 MIN. REQUIRED)
SPORTS AND HOBBIES: HAIR:
EYES:
HEIGHT:
SHOE SIZE:
OTHER TALENTS OR AWARDS: DO YOU HAVE ANY PREVIOUS TRAINING OR EXPERIENCE?
ON A SCALE OF 1 TO 10 (10 BEING MOST IMPORTANT) HOW IMPORTANT IS THIS? ARE BOTH PARENTS SUPPORTIVE OF THIS ENDEAVOR: MOM_______ SCOUTS NOTES:
