Little Mermaid Registration

Must be completed before casting.

This is a lot of information, up front. Please be patient and get through it. This will better serve you and us during our casting, rehearsal, and performance process.

Actors First Name

Actors Last name

Head Shot

Please submit a headshot/selfie. Does not need to be professional, just so we know what you look like for reference

Gender

Male

Female

Height

Shoe Size

W=Women, M=Men

T-Shirt Size

Pant Size

G=Girl, W=Woman, B=Boy, M=Men

Age

Grade (you will attend next school year)

School Attending (Next Year)

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Primary Email

Parent Email

Registering Parent if app.

Actor Phone

Ex 14355555555

Make sure you add the 1.

Parent or Alt. Phone

Ex 14355555555

Make sure you add the 1.

Do you require car pooling?

Please list the first and last name of the person you require to carpool with.

Depending on your part you receive this may be accommodated.

If None, State None.

Now Some Casting Fun

Guardian, Please involve or allow your actor to complete this section.

Role You're Auditioning For:

First Choice

Second Choice

Third Choice

Would you be willing to accept any part for which you are cast?

Accept any role:

Yes

No

If no, please list parts interested in and why.

Are you willing to do a stage kiss? (Age 16 and up)

Yes

No

Are you willing to color your hair?

Are you willing to cut your hair?

If I am cast, I am prepared to make a FULL COMMITMENT to this show. If other opportunities or non-emergency commitments arise anytime between now & the performance, that conflict with regular rehearsals & performances I will decline the opportunities.

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ACTOR Please SIGN ABOVE.

It is my job to resolve any conflicts that arise before the rehearsals/performances & to arrive on time each & every day. I understand the director may or may not agree to accommodate the conflicts I have listed on this form.

Guardian & Actor Section

Please list all conflicts:

Please list as follows:

example:

FSY 6/7-6/12

Family Trip 7/3-7/7

By checking this box, I agree to receive texts from CCCMT at the mobile number listed. Message and data rates may apply. Text STOP to unsubscribe from messages at any time.

By checking this box, I understand and agree to BOTH the CCCMT FAQ's and the Parent/Student Expectations and will abide by the rules and guidelines, including the dress code..

By checking this box, I understand that notices and calendar changes/updates will be sent via email and/or text AND are posted on the CCCMT website. I understand that it is my responsibility to check the calendar and website to ensure I know when I am supposed to be to practice.

Photo & Video Waiver

Yes

No

I give CCCMT permission to photograph, film, or record my child in rehearsal, performance and/or production. I understand that CCCMT may use these images for publicity, advertising, or for applications for grant funding. I give full permission and agree to waive all copyright and future considerations.

Medical Waiver

Yes

No

I declare that I am the parent/responsible party of the above named actor. In the event my actor is injured or should require medical attention, I hereby request that you contact me or our emergency contact. In the event that we cannot be reached, I hereby authorize CCCMT to secure necessary medical treatment for actor. I further acknowledge that I will be responsible for any medical or hospital fees or costs associated with my actors medical treatment or hospital fees or costs associated with.

Risk Waiver

Yes

No

I assume all risks and hazards from participation in this production and hereby waive, release, absolve and indemnify and agree to hold harmless CCCMT , it’s organizers, sponsors, directors, volunteers, and participants for any claim arising out of injury to my actor. My signature below indicates that I have read, understand, and agree to the terms of the this statement and form.

Signature

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I understand there is a participation fee and that registration is limited. I also understand that I am not registered until the participation fee has been paid. This Fee is NON-REFUNDABLE, after casting. You will be directed to the payment page after submitting.

Cedar City

Children's Musical Theatre

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