Spring 2021 Arts in Motion Application

Student's First Name *

Student's Last Name *

Home Phone: *

Address *

Student Cell

Student Email

Parent Email *

Age *

Date of Birth *

Sex *

Grade *

School *

Shoe Size *

Shirt Size *

Pant Size *

Dress Size *

Parent/Guardian 1 Name *

Parent/Guardian 1 Cell Phone *

Parent/Guardian 1 Birthdate *

Parent/Guardian 2 Name *

Parent/Guardian 2 Cell Phone *

Parent/Guardian 2 Birthdate *

Emergency Contact/Relationship *

Emergency Contact Number *

Allergies/Health Related Issues, including any diagnoses which might affect behavior. If none, please type "N/A".` *

Current AIM Member (If not, please pay $50 Family Membership Fee) *

Yes

Is this production your first priority? *

Yes

No, I have other commitments.

During these days I have: *

No other commitments

One other commitment

More than one commitment

Please Note: Not disclosing conflicts is unacceptable and may result in loss of your role. YOU MUST BE ABLE TO ATTEND ALL PERFORMANCES.

During this rehearsal period, I will not be able to attend rehearsals on the following dates: *

For this show we will be selecting a small number of cast members to perform several times between February and May for publicity for the show. Are you interested in being considered for this group and committing to extra rehearsals/performances? *

FIRST REHEARSAL
Thursday, January 21, 2021, 6 - 9 p.m.

Rehearsals will be held at 13921 7th Street, Dade City, FL 33525

Rehearsals: Tuesday & Thursday from 6:00 - 9:00 p.m. and Saturday 9 a.m. - 12:00 p.m. beginning Thursday, January 21. Please expect extended rehearsals, especially closer to show time. Extended rehearsals will be announced at a later date.

Tech Week & Performances: TBA, show likely the 3rd or 4th weekend of May.

I have read the attendance and disciplinary guidelines and agree to them: *

Yes

I give my child permission to participate in AIM's production. *

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