Creative Youth Theater

REGISTRATION FORM


Name __________________________________________________________


Address: _________________________________________________________________________

City     ____________________________Zip ______________________


Email addresses __________________________________________________________________(Parents)

____________________________________________________(actor)


Phones:  (Home) ______________________________________

Parent’s Names and Cell Phones: _____________________________________________

Other Emergency Name and Phone ________________________________________________


Age ___________ Grade __________ Height ____________  Gender ___________

Is this your first time with Creative Youth Theater?    YES      NO  


Signing up for what play?   (Circle one) Dude Ranch     Villains


Tell me a little about yourself:

School ___________________________________ Favorite subject _____________________


Have you ever done anything on a stage before?

____________________________________________________________________


Have you ever seen one of our plays before?   YES    NO    MANY!


Check the following that apply:

I want a really big part ______ I’m okay with a smaller part_______
Any size part is okay with me _______


I am really nervous ______  I’m raring to go! ________  I am nervous but excited! ________


I can memorize lines easily _________  I can do fun things with my voice _______


I can speak with an accent ______________   For my age I look   OLD     YOUNG    RIGHT ON


I’m willing to learn new things in drama for the stage   YES     NO


I can sing alone ___________  I can sing with a group ___________ I really can’t sing _________

I would love to have a singing (solo) part in the play __________________


I can dance _________________  I can speak really loudly!  ___________________


Please send this form in with the deposit of $50 for older kid’s play and $35 for younger kid’s play
and the Participation Agreement

to:     Christie Miller, Creative Youth Theater Director

2818 Martin Road          Bellingham, WA  98226

(Balance paid on the first day of the workshop ($125 or $60);

Deposit is non-refundable after June 1)

All registrations sent in mean you are IN THE PLAY, except when we state that we are full.


Questions:  360-966-0203     or director@creativeyouththeater.com