WALKING THE BEAT
Student Application
Walking the Beat/Hollywood
Summer Theater Arts Residency
June 17 - August 25
Full program details: http://www.fountaintheatre.com/event/walking-the-beat/
Please complete and click submit when finished.
First Name *
Last Name *
Middle Name *
High School *
Grade in Fall 2019 *
Age *
City of Residence *
Home Phone
Mobile Phone
Email *
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relationship *
Do you have prior experience or training in: *
Required
If selected, will you have transportation to The Fountain Theatre for rehearsals during the summer residency? *
Please upload a headshot/photo of yourself
Sign
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Initial here: *
Date *
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Parent / Guardian initials: *
Date *
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Submit
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