Wizard of Oz Audition Registration

Please Fill out this form in it's entirety! You/Your child is/are not registered for Auditions until the Liability Waiver and Code of Conduct Forms are signed!

Please note: If you are having trouble submitting your form or your video, please send the information to info@imagineperformingartscenter.org so we can better assist you!

Student First name

Student Last Name

Student Date of birth (must be no older than 18 years of age at the time of the production)

Month

Day

Year

Parent/Guardian First and Last

Parent/Guardian Email

Parent/Guardian Phone #

Does your child have any special needs, diagnoses, or support needs we should know about to best support them in class? Please be as detailed as you’d like — if none, just write N/A.*

I declare that I have read and acknowledge the IMAGINE PERFORMING ARTS CENTER PARTICIPATION, AGREEMENT, LIABILITY WAIVER, AND POLICY ACKNOWLEDGEMENT,

https://www.imagineperformingartscenter.org/liabilitywaiver

By signing, I acknowledge that I have read, understood, and agree to all the terms and conditions stated in this agreement.

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I declare that I have read and acknowledge the IMAGINE PERFORMING ARTS CENTER STUDENT CODE OF CONDUCT

https://www.imagineperformingartscenter.org/codeofconduct

By signing, I confirm that I have read, understood, and agree to the student code of conduct, and I am aware of the consequences of not adhering to it.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Emergency Contact Name

Emergency Contact Phone

Please upload your AUDITION VIDEO here if you are not able to attend the August 23rd Auditions - VIDEO SUBMISSIONS ARE DUE BY AUGUST 22ND AT 11:59!