Peter Pan Jr. and Matilda Audition Form

Audition Form Peter Pan Jr.

If you are registering for multiple people, please fill out this form separately for each person you wish to register.
Please Note: Due to COVID-19, our production of Matilda has been CANCELLED for the time being. However, we are still moving forward with our production of Peter Pan Jr.

To receive notification on the status on our production of Matilda as well as other important programming updates, make sure you are subscribed to our mailing list for future updates. Click here to subscribe if you are new to Break a Leg Theater Works.

Please select ONLY "Peter Pan Jr." below.
Which show would you like to audition for? *

Peter Pan Jr.
Tag
Student Information
Student First Name *
Student Last Name *
Is student new to Break a Leg Theater Works?

Yes No
How did you hear about us?
Student Email (if applicable)
example@example.com
Student Age
Student Current Grade
Student's School
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Any food allergies or medical conditions of which we should be aware?
Parent/Guardian Information
Parent/Guardian First Name *
Parent/Guardian Last Name *
Full Name
Parent Email *
example@example.com
Parent Phone Number *

Area Code Phone Number
Emergency Contact
Same as Parent/Guardian information above?
Name
Phone Number

Area Code Phone Number
Email
example@example.com
Time Slot Selection

Please select one audition time slot. Your audition will be approximately five (5) minutes in length within a particular slot of time.

Auditions slots are open on Saturday, May 2 and Sunday, May 3, and you can select a slot on either date. Select a date below to view openings for that day.
View audition slots on: *
Confirmation

Student Name: {studentFirst} {studentLast}

Show: {whichShow}
*

I confirm that this is my selected audition time slot and chosen show.
Please check each of the following statements to acknowledge this important information. *

Audition Fee *

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Cost
Select a payment option below to submit your audition fee and complete registration.
Should be Empty:

Audition Form Peter Pan Jr.

Confirmation