Youth Audition Form Stage Struck Audition Form Step 1 of 4 25% Personal InformationAge Requirement(Required) I certify that I am 18 years old or older.If you are not 18-years-old or older please have your parent complete this audition form on your behalf.Your Name(Required) First Last If an adult completing a form for a youth actor, please provide your name and contact information here. You will have an opportunity to provide your child's name separately.Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Primary Phone(Required)Alternate PhoneYouth Actor's Name(Required) First Last Please provide the name of your child. If you have more than one child auditioning please complete separate forms for each. All remaining fields should be with your child's information.Youth Actor Email Youth Actor PhoneAre you a current member of PM&L?(Required)YesNoWhat is your gender?(Required) Female Male Non-binary Transgender Intersex I prefer not to say. Other What are your pronouns?(Required) She/her He/him They/them I prefer not to say. Other This helps us understand the best way to address you. For example, choose "She/her" if you would like us to say "She gave a great performance!"Age(Required)Height(Required) Weight(Required)Hair Color(Required) Hair Length(Required) Performance & Rehearsal Conflicts Please see the show's audition page for performance dates and rehearsal schedule, if available. If not on the show's audition page rehearsal schedules are typically available at auditions but may be subject to change depending on casting. The week leading up to the opening weekend is commonly referred to as "Production Week" and may have rehearsals every day leading up to the show's opening. The week two weeks before opening is commonly referred to as "Tech Week" and typically has full dress rehearsals and tech and may have additional rehearsals depending on the director's discretion. Please be honest, shows are an immense amount of work to cast and schedule, your honestly helps us make casting and rehearsal decisions. Allowances for rehearsal conflicts can typically be accommodated at the director's discretion. Are you free of ALL conflicts on performance dates?(Required)YesNoConflicts during tech week, production week, and performance dates may affect casting.Please provide details on your performance date conflicts.(Required)Do you have any rehearsal conflicts?(Required)YesNoConflicts during tech week, production week, and performance dates may affect casting.Please provide details on your rehearsal conflicts.(Required)Please check the show's audition page to see if a rehearsal schedule is available. If one is available, please indicate specific rehearsal dates you have conflicts. Otherwise please specify dates, days, or times you have conflicts.Please indicate the role(s) you are interested in auditioning for.(Required) Ariel Prince Eric Sebastian Ursula Flounder King Triton Mersister Jetsam Flotsam Scuttle Grimsby Chef Louis Carlotta Ensemble Please see the available roles list for more information. Check as many as desired.Will you accept any role?(Required)YesNoPlease indicate if you (or your student) would be interested in working on any of the following for this show or a future show. Set Lighting Sound Backstage Crew Props Marketing / Publicity Costumes Ushering ExperienceExperience In Other Shows Add RemovePlease use each row to enter production information and your role in previous productions. Use the plus icon to add additional rows. You may skip this item if you are uploading an acting resume.Acting Resume / Headshot Upload Drop files here or Select files Accepted file types: jpg, pdf, Max. file size: 512 MB. Feel free to upload your acting resume (in PDF form) and/or headshot. Consent Palette, Masque & Lyre, Inc., (dba PM&L) is a not-for-profit community theatre. All people are welcome to audition for any positions. It is understood that all participants are volunteers. Volunteers are not compensated for performing in or providing service to any production(s) and are not covered by any type of workers compensation insurance plan. Please take time to review PM&L's Internal COVID Guidelines in regard to COVID-19.Registrations(Required) I agree to the registration policy.Participation in the Stage Struck program is contingent on registering for the program. I understand my registration is nonrefundable after my child's audition.Release of Liability(Required) I agree to release and hold harmless Palette, Masque & Lyre, Inc.I agree and understand that PM&L accepts no liability for any accident(s) that may result from the normal activities associated with the production of the play(s).Name, Image, and Likeness(Required) I agree to the name, image, and likeness policy.All participants agree and understand that photos and/or videos may be taken for publicity and/or archival purposes and that the rights to any and all said materials are retained by PM&L.