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Become an Actor
Contact
Support Our Mission
Become an Actor
Actor Name
First Name
(Required)
Middle Name
Last Name
(Required)
Parent/Guardian Name
(Required)
Birthdate
(Required)
MM slash DD slash YYYY
Actor Gender
(Required)
T-Shirt Size
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone Number
(Required)
Email Address
(Required)
Costume Details
T-Shirt Size
(Required)
Pant/Dress Size
(Required)
Height
(Required)
Weight
(Required)
Emergency Contact
Name
(Required)
Relationship
(Required)
Cell Phone
(Required)
Home Phone
Important Information
Media Release Form
I understand that my/my child's picture may appear in newspapers, on television, on websites, networking sites (i.E., facebook, instagram, social media), in publications, ads for etc only, for etc purposes, for the vsa or other communication tools to promote the exceptional theatre company.
(Required)
I agree to be photographed for the purposes explained above
I do not agree to be photographed for the purposes explained above
RACE: Which of these best describes your ethnic background? (Check one)
White - not Hispanic
Black - not Hispanic
Hispanic - any race
American Indian or Alaskan Native
Asian of Pacific Islander
Multi-racial
