Tater Patch Players Audition & Release Form

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TATER PATCH PLAYERS
AUDITION
RELEASE FORM
&
Name:
Address:
Phone No.:
Alternate:
Email:
Age:
Height:
Gender: M
F
Sing:
Y
N
If yes, vocal range:
Dance:
Y
N
If yes, type(s):
If Auditioning for Particular Role (which):
Experience:
Talent/Skills:
Can you or others help with production (sew, paint, publicity, box office, stage hand, etc.)?
Unavailability Schedule:
Participant Release: I authorize Tater Patch Players, and those acting pursuant to its authority,
to (1) Record my participation and appearance on videotape, audiotape, film, photograph or any
other medium; (2) Use my name, likeness, voice and/or biographical material in connection
thereto; and (3) Exhibit or distribute such material in whole or in part without restrictions or
limitation for any publicity or promotional purpose which Tater Patch Players, and those acting
pursuant to its authority, deem appropriate.
Signature:
Parent/Guardian Signature (if under 18):
Date:

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