Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Select All That Apply *

Contrasting Monologue

Shakespeare Monologue

Duo Theatre

Ensemble Theatre

Solo Musical Theatre

Duo Musical Theatre

Ensemble Musical Theatre

Parent Name

First Name

Last Name

Parent Phone Number *

(###)

###

####

Teacher/Director Name

First Name

Last Name

Teacher/Director Phone Number

(###)

###

####

Financial Disclosure and Personal Release* *

I understand that I must submit my most recent tax return or other financial document for proof of income in order to complete this application. I also understand that if awarded a scholarship I will be required to sign a Personal Consent & Release to participate in the Secondary Theatre Festival.

I agree to the above.