Innovative Theatre Challenge Audition Form

2. First Name*
3. Last Name*
5. Email Address*
7. Phone Number (preferred contact number)*
8. Birthday*
10. What gender role/s are you comfortable being cast in?*
    -- Select One --MaleFemaleEither Male or Female
11. What pronouns do you use?*
13. Embed Link for your video*
15. Height*
16. What instruments do you play (if any)?
18. Special Skills
20. Acknowlegement of Rehearsal and Performance Schedule*

    I have read the rehearsal and performance schedules on the Theatre in the Park Audition website and I have two or less conflicts during rehearsals that CANNOT be moved and NO conflicts during tech week or performances.

    1. YES
22. Electronic Signature Agreement Instructions
    Complete the first Electronic Signature Agreement if you are 18 or older by the date of auditions. If you are 17 or under by the date of auditions, a parent or guardian must complete the second Electronic Signature Agreement.
24. Electronic Signature Agreement (18 and Older)

    By checking the "I agree" box below, you agree and acknowledge that as a volunteer for Johnson County Park & Recreation District, I do hereby assume all risk of injury & medical expense incurred from any injury resulting from my volunteer participation. The undersigned states that he/she understands that the Johnson County Park & Recreation District is not and shall not be responsible for or liable for any illness, injury, or death to person or damage to property, including but not limited to illness, injury, or death arising from exposure to the Novel Coronavirus (COVID-19), resulting from the program in which the undersigned is enrolling or being enrolled or from his/her participating in said program, and the participant and the undersigned, if the participant is a minor or under other legal disability, hereby forever releases and holds harmless the said Johnson County Park & Recreation District, it's employees, agents and representatives from any and all claims of any kind, including but not limited to claims arising from exposure to the Novel Coronavirus (COVID-19), that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participation in said program. I understand, acknowledge & agree I am not covered by Workers’ Compensation insurance or benefits provided thereunder & I do hereby release, discharge & hold harmless Johnson County Park & Recreation District, its agents, representatives and employees, from any & all claims whatsoever, known or unknown, for damages or injuries to myself. NOTICE: By participating in this program you hereby acknowledge the Johnson County Park & Recreation District can and may photograph and/or video tape program participants and then use such images without payment or any other consideration, for purposes of publicizing District parks, facilities, programs or services, or for any other lawful purpose.

    1. I agree.
26. Electronic Signature
28. Parent/Guardian Electronic Signature Agreement (required for participants under 18)

    By checking the "I agree" box below, you agree and acknowledge that as THE PARENT OR GUARDIAN OF a volunteer for Johnson County Park & Recreation District, I do hereby assume all risk of injury & medical expense incurred from any injury resulting from my volunteer participation. The undersigned states that he/she understands that the Johnson County Park & Recreation District is not and shall not be responsible for or liable for any illness, injury, or death to person or damage to property, including but not limited to illness, injury, or death arising from exposure to the Novel Coronavirus (COVID-19), resulting from the program in which the undersigned is enrolling or being enrolled or from his/her participating in said program, and the participant and the undersigned, if the participant is a minor or under other legal disability, hereby forever releases and holds harmless the said Johnson County Park & Recreation District, it's employees, agents and representatives from any and all claims of any kind, including but not limited to claims arising from exposure to the Novel Coronavirus (COVID-19), that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participation in said program. I understand, acknowledge & agree I am not covered by Workers’ Compensation insurance or benefits provided thereunder & I do hereby release, discharge & hold harmless Johnson County Park & Recreation District, its agents, representatives and employees, from any & all claims whatsoever, known or unknown, for damages or injuries to myself. NOTICE: By participating in this program you hereby acknowledge the Johnson County Park & Recreation District can and may photograph and/or video tape program participants and then use such images without payment or any other consideration, for purposes of publicizing District parks, facilities, programs or services, or for any other lawful purpose.

    1. I agree.
30. Electronic Signature
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field