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| Last Name (Required) |
First Name (Required) |
MI |
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| E-Mail (Required) |
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| Street Address -- Line 1(Required) |
Apt. |
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| Street Address -- Line 2 |
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| City (Required) |
State (Required) |
Zip (Required) |
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| Daytime Phone (Required) |
Evening Phone (Required) |
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| Which are you interested in (check all that apply): Plays Musicals Cabaret Industrials |
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| Please provide the following personal information for our files: |
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| Age (Required) |
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Height (x'-x") (Required) |
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| Eye Color (Required) |
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Weight (lbs) (Required) |
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| Hair Color (Required) |
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| Vocal Range (check all that apply): |
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Soprano Mezzo Alto Tenor Baritone Bass |
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| Do you read music? |
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| Do you play a musical instrument? |
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If Yes, which one(s)? |
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| Do you dance? |
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If yes, how many years of experience (whole numbers only)? |
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If yes, styles (check all that apply): |
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Jazz Ballet Tap Ballroom Other |
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Describe Other: |
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| Please indicate any formal acting, singing, or dancing experience in the box below: |
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