Audition Intake

Audition Intake Form - Generals

If you are human, leave this field blank.

Today's Date *

Contact Information

First Name *

Last Name *

Address *

City *

Postal Code *

Home Phone

Cell Phone *

Email Address *

Agent Information

(If you would like us to contact your agent instead)

Agent Name

Agency

Agent Phone

Agent Email Address

Audition Information

1st Monologue (Character - Play) *

2nd Monologue (Character - Play) *

Song you will be auditioning with

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Please list any musical instruments you play along with the proficiency you play them with

Instrument

Proficiency

Beginner

Intermediate

Advanced

OtherOther

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Please select all that apply

CAEA Member

ACTRA Member

UBCP Member

N/A

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