Rock Camp Audition Form Posted 2020-01-08 by Jessica Sims Student's Full Name:* First Last Gender Identity:* Male Female Non-binary Preferred Pronouns:* He/Him She/Her They/Them Adult T-Shirt SizeSMLXLXXLDate of Birth:*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Grade Level This FallSchool:*School District:*High School Music Teacher(s):Audition InformationWhat Instrument/part are you auditioning for?Do you play any other instruments? Yes No What other instrument(s) do you play?First Choice:Second Choice:Do you own your instrument? Yes No Would you be willing supply your instruments to the camp as needed?(Amplifier, drum set, keyboard, microphone etc.) Yes No Audition Song #1Artist:Audition Song #2Artist:ExperienceHow long have you played this/these instruments?*Have you taken private lessons? Yes No How many years?List your teachers and instruments you took lessons with:List any bands/ensembles/music groups you perform with at school as well as how long you’ve played with them:Have you ever performed in a rock band?* Yes No List how long and instrument you played?Do you read music? Yes No Do you write music? Yes No Do you write lyrics? Yes No Do you sing? Yes No List any other relevant experience:List any songs or styles you are interested in playing:Upload resume here (optional):Max. file size: 20 MB. Upload headshot here (optional):Max. file size: 20 MB. School photos are perfectly acceptable!Please provide a YouTube or Vimeo link to your audition video: MarketingHow did you hear about rock camp:* Social Media Web E-mail Playbill Flyer Word of Mouth Referred by a friend Other If Other, please list:Primary ResidenceGuardian's Name:* First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Guardian Email:* Guardian Phone:*Student Email:* Student Phone:*Consent*I, (the parent/legal guardian of the child above) hereby give and forever grant Proctors Collaborative permission and consent for value received and without further consideration or compensation to the use (full or in part) of photos and all videotapes taken, recordings made of the child’s voice and/or written extraction, in whole or in part, of such recordings or musical performance for the purposes of illustration, broadcast, web cast or distribution in any manner by Proctors Collaborative for Collaborative School of the Arts or for any other purpose. It is the intent of Proctors Collaborative to use these photographs and videos in educational materials and future promotions of the theatre. I further warrant to Proctors that I am the parent or legal guardian of the above-stated child and have every right to grant the permission outlined above: I agree to the aboveGuardian Signature* First Last Date MM slash DD slash YYYY
