| Last Name, First Name |
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| Mailing Address |
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| City |
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| State |
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| Zip Code |
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| Current Grade |
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| Age |
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| Hair Color |
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| Eye Color |
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| Gender |
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| Height |
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| Weight |
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| Acting Experience |
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| 1st Period Class & Teacher |
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| 2nd Period Class & Teacher |
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| 3rd Period Class & Teacher |
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| 4th Period Class & Teacher |
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| After School Clubs/Activities |
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| Parent/Guardian Name |
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| Telephone Number |
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| Email Address |
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| Will you be able to attend ALL rehearsals? |
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| In not, list all conflicts. Be HONEST! |
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| If you do not make the show, will you consider working backstage? |
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| What crew would you be most interested in? |
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| Theater is a TEAM effort and requires excellent self control. Are you 100% committed to this concept? |
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| List anything further you would like the casting director to know. |
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| Attach photo here. |
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