Cast Info Form

What show are you in?

Actor's Name

Parent Name (if applicable)

Please provide us with a CURRENT email address that actor and parent both check daily.

We use email to get in touch with you for major updates and rehearsal information.

Primary email

Primary Phone #

Secondary email

Secondary Phone

Production Fee

Actors under 18 are expected to pay a $100 production fee in order to participate.

Please indicate how you wish to pay this fee, or select "not applicable".

Single choice

I will pay by credit card now

I will pay by check or cash later

Not applicable, 18 or older

Script Fee

FOR BRIGHT START: All actors will need to pay a refundable $25 script fee. We prefer check or cash payment if possible. This fee will be returned to you once you have returned your script fully erased. Please indicate how you wish to pay this fee.

FOR CHARLIE & THE CHOCOLATE FACTORY: All actors will need to pay a NON-refundable $25 script fee. This can be paid online, or via cash/check. These scripts do not need to be returned so please feel free to write and highlight in them however you would like.

Single choice

I will pay by credit card now

I will pay by check or cash later

Emergency Information

In the event of an emergency, please list below the appropriate emergency contact, hospital preference (if any) and any medications, allergies, or conditions you would like for us to be aware of. This information is considered confidential and will be maintained by theatre staff for use in an emergency only.

Emergency Contact Person

Emergency Phone

Hospital Preference

Allergies

Medications

Medical Conditions

Dietary Restrictions

Anything else you want us to know?

Waiver and Release

To be filled out by parent/guardian for actors under 18 years of age.

In consideration of the opportunity to participate in this production presented by Matthews Playhouse of the Performing Arts, I (we) release and discharge Matthews Playhouse of the Performing Arts and its Officers, Directors, and Agents of and from any claims, demands, liability, or damage arising from the participation of myself or my child

in this production. My child's photograph or likeness or my photograph or likeness may be used in publicity for this production or any other publicity, brochure, printed or digital material for Matthews Playhouse of the Performing Arts.

By clicking the checkbox below, I acknowledge my acceptance of this waiver and release, and agree that selecting the checkbox has the same effect as a physical signature.

I acknowledge this Waiver and Release

Online Fee Payment

Please select which fee(s) you wish to pay by credit card at this time. If not applicable, simply leave this selection blank and click "submit".

Production Fee (Under 18 yrs old)$100

Script Fee$25

Both$125