Audition Intake Form – Casting

Today's Date *

First Name *

Last Name *

Address *

City *

Postal Code *

Home Phone

Cell Phone *

Email Address *

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

Agent Name

Agency

Agent Phone

Agent Email Address

Monologue you are auditioning with & the play *

Monologue you are auditioning with & the play

Song you will be auditioning with (if applicable)

Instrument

Proficiency

Beginner

Intermediate

Advanced

OtherOther

Upload Headshot *

Maximum file size: 516MB

Upload Resume *

Maximum file size: 516MB

Please select all that apply

CAEA Member

ACTRA Member

UBCP Member

N/A