OMT Membership Registration Form

Name of person auditioning *

First Name Last Name

Age

Phone Number

Area Code Phone Number

E-mail *

Confirmation Email

Address

Street Address
Street Address Line 2
City	State / Province
Postal	Country

Are you on Slack?

Yes No

If under 18, please fill out parent/guardian information below.

(1) Parent/Guardian Name

First Name Last Name

(1) Parent/Guardian Phone Number

Area Code Phone Number

(1) Parent/Guardian E-mail

Confirmation Email

Is the parent/guardian on Slack?

Yes No

(2) Parent/Guardian Name

First Name Last Name

(2) Parent/Guardian Phone Number

Area Code Phone Number

(2) Parent/Guardian E-mail

Confirmation Email

Is the parent/guardian on Slack?

Yes No

Financial:

Single (1 individual) Show Fee: $60.00 + ($210.00* for 10 vouchers (tickets)) =$270

Family Show Fee: $60.00 for first family member + $30.00 for every other family member auditoning + ($315.00* for 15 vouchers (tickets)) = $405 (for two family members) or $435 (for three family members)

Dues/Fees/Voucher costs must be paid before or at the first scheduled rehearsal.

Note: The current regular box office ticket price is $22.00* plus box office fee. Discounted ticket vouchers save you the cost of box office fees. You can sell these discounted ticket vouchers to family and friends to re-coupe voucher costs.

*subject to change

I understand the financial commitment required? *

Do you require Single or Family Membership?

Single Family

Second family member

First Name Last Name

Third family member

First Name Last Name

Desired Role - First Choice

Desired Role - Second Choice

Desired Role - Third Choice

I will participate in any role that the director casts me in

Yes No

Have you been in any other theatre productions (community or professional)? If so please list.

Have you been in a previous OMT production? If so please list.

Please provide any feedback you have from your experience participating in an previous OMT show. Feedback is optional and will NOT be shared with artistic teams.

Rehearsal Commitment (*subject to change):

Rehearsals are:

Wednesday night (7:00 to 9:00 or 10:00)

Sunday afternoon (12:00 or 1:00 to 5:00)

Exact rehearsal times will be set by the artistic team and cast will be notified at the first rehearsal

Tech Week: June 15th to June 18th

Show dates: June 19th, June 20th, June 21st, June 26th, June 27th, and June 28th

Note that there may be dates added and there also may be school day shows during the show dates.

Please list any conflicts below *NO EXCEPTIONS FOR TECH OR SHOW DATES*

List any special talents

Volunteer Areas for parent/guardian/friends/family (can select more than one):

Would you be interested in purchasing an OMT show shirt?

Yes No

Would you be interested in purchasing an OMT show car magnet?

Yes No

Membership Rules

ATTENDANCE: I acknowledge the importance of regular attendance at rehearsals to ensure the quality of the show. I understand that more than two unexcused absences from rehearsals may result in my dismissal from the show. I further understand that any role I may be given can be reassigned should I not commit the necessary effort to the project. *

Yes No

Community Involvement: I acknowledge that I will be required to participate in at least 2 community / fundraising events . *

Yes No

DATABASE: I agree to have my personal information stored in the OMT membership database. I understand that my information will be shared with the OMT Board and the artistic team as required. OMT agrees not to share my information in any other way without my express written permission. I am responsible for informing OMT of any changes to my personal information. I may withdraw my permission to store my personal information in the OMT database at any time after production. *

Yes No

Liability Waiver

Liability Waiver: I understand that I or my child/ward is a voluntary participant in Orangeville Music Theatre's production. I agree to release and discharge Orangeville Music Theatre and any other related proprietors (i.e. schools, churches, theatres, dance studios and other venues used for the purpose of rehearsals, promotion, or staging the show) from all claims, demands and actions for injuries sustained to myself or my child/ward and/or damage or destruction, loss or theft of property of mine or that of my child/ward. I agree to release and hold Orangeville Music Theatre and any other related proprietors harmless form any cause or action, claim or suit that may arise. I attest that my child's/ward's attendance and involvement in such activities is fully voluntary, that I choose to or allow my child/ward to participate at my or his/her own risk, and that I have read the foregoing terms and conditions of this document. *

Yes No

Code of Conduct

Code of Conduct: Participants will show respect by speaking and acting in a polite manner and being sensitive to the needs and rights of others (i.e. verbal and non-verbal body language and gestures towards others will not include profanity or harassment such as bullying, name calling, teasing, sexual or racial remarks). Help to create a safe space for all participants in which there is no fear of injury (i.e. participants will dress appropriately for activities, stay within given boundaries and not participate in fighting or rough play). Strive for success in the program by taking responsibility for learning, being on time and prepared, and being attentive during each session . Be responsible for the care of personal belongings and respectful of the property of others. *

Yes No

Photo/Video Release

Photo/Video Release: I hereby give permission for images of me, captured during auditions, rehearsals, and performances with Orangeville Music Theatre through video, photo and digital camera, to be used solely for the purposes of OMT promotional material and publications, and waive any rights of compensation or ownership thereto. (Examples of use are posters, programmes, TV ads and programs, videos, photos, website, Facebook (or any other social media)) *

Yes No

*PLEASE NOTE*

Artistic teams will be notifying all applicants of casting decisions via email

To following to be completed at the audition:

Signature of individual auditioning:

Participant:__________________________________________

Date:______________________

If participant is under 18, both the participant and Guardian must sign:

Guardian:___________________________________________

Date:______________________

Once you submit your audition form, we will contact you shortly.

Thank you!

Once you submit your audition form, we will contact you shortly.

Thank you!

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