Summer Dinner Theatre - Student Audition and Technician Interview Sign-up

First Name *This question is required.

Last Name *This question is required.

Preferred Name

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.

MC ID Number (if you have one)

Attach Headshot *This question is required.

Age *This question is required.

EMERGENCY CONTACT INFO

Name *This question is required.

Phone *This question is required.

Relationship *This question is required.