FIRST NAME

LAST NAME

Keith

Griggs

HEIGHT

6’0”

WEIGHT

145 lbs

EYES

Eyes

HAIR

Dark Brown

AGE

BIRTHDATE

18

01/08/2002

SHIRT SIZE

Large

CELL PHONE

7327131352

CAN WE TEXT YOU?

Yes

EMAIL

STREET ADDRESS

27 Loft Dr

PARENT NAME

PARENT PHONE

Parent Phone

ALTERNATE PHONE

None

CITY

STATE

ZIP CODE

Martinsville

New Jersey

08836

PARENT EMAIL

Parent Email

What is your audition monologue? (Please select your choice)

Monologue Selection

PREVIOUS THEATRE EXPERIENCE:

Previous Theatre Experience

MEDICAL ISSUES

Previous Theatre Experience

EMERGENCY CONTACT

Emergency Contact

EMERGENCY PHONE

Emergency Phone

EMERGENCY EMAIL

Emergency Email

I agree to the following SCHEDULE: 

First Read-Thru via ZOOM: Wednesday, September 16 — 7:00pm-9:00pm 

Rehearsals at Mind Your Body Studio: Sundays: Sept. 20, 27; Oct. 4, 11, 18, 25. 1:00pm-4:00pm 

Performance at Madison’s “Fall Back into the Arts” Festival: Friday, Oct. 30 – 4:00pm (arrive 2:30pm)

Digital Signature

Digital Signature

Date

Date

Please list ALL CONFLICTS that might cause you to miss rehearsals.
(We have only a short process, hopefully conflicts are limited!)

Date

I understand the following THEATRICAL MORALE and production expectations: 

Attendance at rehearsals is essential to the success of this show. Every part is important in the show and having one cast or crew member missing affects the entire cast. 

There are no “stars” in this production and “star treatment” is not to be expected by any cast member. The cast will work as a supportive ensemble with the understanding that EVERY role is important. 

Cast members will provide any necessary main costume pieces, including shoes, socks, tights, etc. We WILL assist in coordinating costumes and will perhaps provide accessories, etc. Additional information will be provided ASAP. 

Cast members will each submit his or her $75 Production Fee due by the end of rehearsal on Sunday, September 20th. The 1st MANDATORY read-thru via ZOOM is Wednesday, Sept. 16 at 7:00pm.

Digital Signature

Digital Signature

Date

Date

I certify that I am in proper physical condition to take part in dance and performing arts activities. I realize that there are certain risks possible in the art of dancing and performing. I agree to assume the risk of all injuries or damage that may arise from my participation with A Work of Heart Productions. 

In consideration of the above, I hereby release and hold harmless A Work of Heart Productions, its teachers, and directors from and against any liability or claim for any loss of property, injury, misadventure, harm, cost, or damage sustained as a result of my participation with A Work of Heart Productions. 

I have read this release and understand its meaning. I also understand that if I am cast in this production there will be a $75 Production Fee due by the end of rehearsal on Sunday, September 20th.

Digital Signature

Digital Signature

Date

Date

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