Audition Intake

Please fill out the following form prior to your audition.

Audition Intake Form

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

Play the character is in *

Character you are auditioning for *

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

Instrument

Proficiency

Beginner

Intermediate

Advanced

Other

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Song you will be auditioning with (if applicable)

Please select all that apply

CAEA Member

ACTRA Member

UBCP Member

N/A

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