Spring Musical Workshop/Audition Registration Form Please fill out and submit the following form to sign up for the Spring Musical workshop and/or audition. Required fields are marked with a red asterisk. Student Name* First Last Parent/Guardian Name* First Last Student Date of Birth MM DD YYYY Age*Select Student's Age6 (minimum age requirement)789101112131415Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home PhoneCell Phone*Will be used as primary phone number.Email* Emergency Contact Name* First Last Emergency Contact Phone Number*Previous instrumental music, voice, acting, or dance experience. If any, please indicate and for how long:Will you be attending both the 1/8 workshop AND the 1/12 audition? (Check one)*Please check just one of the following options. I'm just attending the workshop. I'm just attending the audition. I'm attending both the workshop AND the audition. Please read the rehearsal schedule below and list any conflicts that you have during the regular rehearsal period.*Regular rehearsals: Wednesdays from 5:45-7:45 at 1790 Springfield Avenue, New Providence on the following dates: 1/22; 1/29; 2/5; 2/12; 2/19; 2/26; 3/4; 3/11; 3/18; 3/25; 4/1; 4/8; 4/15; 4/22; 4/29; 5/6; 5/13; 5/20; 5/27; 6/3Please confirm availability for all Dress Rehearsals and Performances*Attendance at all dress rehearsals and performances is mandatory. Please check BOTH of the following boxes. I confirm that I am available for all Dress Rehearsals, held at the Macrae Theater at the Pingry School in Basking Ridge from 5:00-8:00 on the following dates: 6/9; 6/10; 6/11; 6/12. I confirm that I am available for both performances, held at the Macrae Theater at the Pingry School in Basking Ridge on the following dates/times: 6/13 7:30, 6/14 3:00.