WINTER MUSICAL PARTICIPATION FORM KEEP THIS PAGE

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KEEP THIS PAGE Thank you for considering taking part in Bell Elementary s musical production of Shakespeare Rocks. It is our goal to make this an extraordinary experience for every participant. 1. We welcome actors in 5th, 4th, 3rd and 2nd grade. 2. We welcome up to 5 crew members (accepted in the order received) in 5th or 4th grade. 3. Mandatory parent meeting on Monday 1/28 at 7pm in the A.G. Bell Cafeteria. Bring your check: a. PTSA Members: $100 for actors / $50 for crew b. Non-PTSA Members: $102 for actors / $52 for crew c. Write check to: A.G. Bell PTSA d. No refunds after auditions. e. There is a checkbox on the form to request a fee reduction. i. The fee will not be a barrier to any student that wants to participate. 4. Rehearsals are typically Tuesday through Friday for 2 hours. a. Participants may not be needed every day. b. There are 8 Mandatory dates for actors listed on the calendar. c. Crew students start joining us for all rehearsals on the Saturday rehearsal on March 16. d. We can work around conflicts, but please communicate any absences. e. On the back side of the participant form page there is a schedule to note conflicts. 5. You keep this first page with schedule on back and then return the remainder of the packet. 6. Final page is a Bell PTSA Membership Form. a. We highly recommend all participating families becoming a PTSA member. b. Ignore the membership form if you are already a PTSA member. 7. Return forms to Bell office. Actors should memorize a monologue between 30 and 60 seconds in length to have prepared for auditions. You can find monologues at monologue.broadwaybulldogs.org or with a Google search. We have an audition practice (and/or find a monologue) on Friday 2/1 after school until 5pm - students are not required to attend. A list of parent responsibilities can be found at parent.broadwaybulldogs.org. Feel free to contact me with any concerns, and we will answer all questions at the parent meeting. I look forward to seeing you there! Johnmichael P. Monteith director@broadwaybulldogs.org - (425) 223-3298 Broadway Bulldogs Participation Form Page 1

11 MAR 11 12 4:00-6:00 13 2:30-4:30 14 4:00-6:00 15 4:00-6:00 16 9:00-3:30 810 120 120 120 120 330 MANDATORY 17 MAR 18 19 5:00-7:00 20 2:30-5:45 21 5:00-7:00 22 5:30-9:00 23 1:00-5:00 375 120 135 120 Parents @ 3 setup CAST PARTY 3-5 TECH WEEK MANDATORY MANDATORY MANDATORY MANDATORY MANDATORY TECH REHEARSAL DRESS REHEARSAL FINAL DRESS PERFORMANCE PERFORMANCE TECH WEEK TECH WEEK TECH WEEK OPENING CLOSING Key for Calendar: ITALICS MEANS IMPORTANT INFORMATION THESE ARE DIRECTORS NOTES - IGNORE TYPE OF REHEARSAL OR LOCATION INFO NOTE ANY CONFLICTS ON CALENDAR BELOW Shakespeare Rocks Required: Parent Meeting on Mon 1/28 at 7pm Optional: Audition Practice on Fri 2/1 4:00-5:00 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 3 FEB 4 5 4:00-6:00 6 2:30-4:30 7 4:00-6:00 8 4:00-6:00 9 120 120 SET AT PARENT MTG SET AT PARENT MTG MANDATORY MANDATORY AUDITION AUDITION CALLBACKS FIRST READ-THRU 48 Hours 10 FEB 11 12 4:00-6:00 13 2:30-4:30 14 NO SCHOOL 15 NO SCHOOL 16 240 120 120 MID-WINTER BREAK MID-WINTER BREAK 17 FEB 18 NO SCHOOL 19 4:00-6:00 20 2:30-4:30 21 4:00-6:00 22 4:00-6:00 23 MID-WINTER BREAK 24 FEB 25 26 4:00-6:00 27 2:30-4:30 28 4:00-6:00 1 4:00-6:00 2 3 MAR 4 5 4:00-6:00 6 2:30-4:30 7 4:00-6:00 8 9 360 120 120 120

RETURN TO OFFICE Please complete the following pages, including listing conflicts on back page, and send to Bell office. Student Full Name: Type: Actor ($100/$102) Crew ($50/$52) Scholarship: Request Fee Reduction Grade: 5 4 3 2 Check made out to: A.G. Bell PTSA Gender: Female Male Other : Hair Color: Diamond Blonde Honey Caramel Brown Espresso Red Shirt Size: Child : Small Med Large Adult : Small Med Large XL XXL Acting/Crew Experience: Vocal Training / Choir: Dance / Gymnastics: Musical Instrument: Can you read sheet music?: Yes No A Little Singing/Voice Type: High Low Unknown Parent/Guardian #1: Mother Father Other Phone Number: Name: Email: Parent/Guardian #2: Mother Father Other Phone Number: Name: Email: Please list any additional information you would like to share with the director: Broadway Bulldogs Participation Form Page 2

11 MAR 11 12 4:00-6:00 13 2:30-4:30 14 4:00-6:00 15 4:00-6:00 16 9:00-3:30 810 120 120 120 120 330 MANDATORY 17 MAR 18 19 5:00-7:00 20 2:30-5:45 21 5:00-7:00 22 5:30-9:00 23 1:00-5:00 375 120 135 120 Parents @ 3 setup CAST PARTY 3-5 TECH WEEK MANDATORY MANDATORY MANDATORY MANDATORY MANDATORY TECH REHEARSAL DRESS REHEARSAL FINAL DRESS PERFORMANCE PERFORMANCE TECH WEEK TECH WEEK TECH WEEK OPENING CLOSING Key for Calendar: ITALICS MEANS IMPORTANT INFORMATION THESE ARE DIRECTORS NOTES - IGNORE TYPE OF REHEARSAL OR LOCATION INFO NOTE ANY CONFLICTS ON CALENDAR BELOW Shakespeare Rocks Required: Parent Meeting on Mon 1/28 at 7pm Optional: Audition Practice on Fri 2/1 4:00-5:00 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 3 FEB 4 5 4:00-6:00 6 2:30-4:30 7 4:00-6:00 8 4:00-6:00 9 120 120 SET AT PARENT MTG SET AT PARENT MTG MANDATORY MANDATORY AUDITION AUDITION CALLBACKS FIRST READ-THRU 48 Hours 10 FEB 11 12 4:00-6:00 13 2:30-4:30 14 NO SCHOOL 15 NO SCHOOL 16 240 120 120 MID-WINTER BREAK MID-WINTER BREAK 17 FEB 18 NO SCHOOL 19 4:00-6:00 20 2:30-4:30 21 4:00-6:00 22 4:00-6:00 23 MID-WINTER BREAK 24 FEB 25 26 4:00-6:00 27 2:30-4:30 28 4:00-6:00 1 4:00-6:00 2 3 MAR 4 5 4:00-6:00 6 2:30-4:30 7 4:00-6:00 8 9 360 120 120 120

RETURN TO OFFICE Rules for a Safe & Fun Experience We are all in this performance journey to learn from each other. Please read these carefully and take them to heart. I will never do anything that is unsafe / could cause harm to others or myself. I will bring my script and two pencils to every rehearsal. I will bring a healthy snack and water bottle to every rehearsal. I will use respectful language at all times, both with my directors and fellow actors. I will clean up after myself and others during/after rehearsals and performances. I will coordinate with another actor if I miss a rehearsal to catch what I missed. I will do my best to memorize my lines and stage movement outside of rehearsal. I will set a good example to others by being a good listener. I will be a good audience member by supporting my fellow actors. I will do my homework or read a book during rehearsal if I am not being used at that time. I will keep any electronic devices (games, cell phones) off and put away during rehearsal. I will pay attention to the time so I can be ready to start on time. I will not touch anything that is not mine unless I have been asked to do so. I will keep my shoes on during rehearsal. I will always try my very best. If I have any concerns I will notify an adult immediately. Student Signature: Date: Broadway Bulldogs Participation Form Page 3

RETURN TO OFFICE MEDICAL INFORMATION Complete only if there is a potential medical concern. Student Full Name: Parent Full Name: Additional Contact #1 Name: Additional Contact #2 Name: Parent Phone: Contact #1 Phone: Contact #2 Phone: List Any Food Allergies: (examples: peanuts, gluten, milk, eggs) Explain Any Serious Medical Condition: (examples: diabetes, epilepsy, severe asthma, or cardiac/heart conditions) Explain any health condition or behavioral / emotional challenges that may impact your student: Explain any items we should monitor to assure the safety of the student: I, the undersigned parent/guardian of the student, acknowledge the possibility that participation in after school activities could result in physical injury to the student. I hereby release, discharge and agree to hold harmless NEW GLOBE, A.G. BELL PTSA and its volunteers from any and all claims related to participation. I further authorize NEW GLOBE and A.G. BELL PTSA volunteers to obtain medical care for my child in case of an emergency. I certify that I have read, understood, and agree to the above conditions, and that the information provided is complete and accurate to the best of my knowledge. Parent Signature: Date: Broadway Bulldogs Participation Form Page 4

A.G. Bell PTSA Membership Application PART A. MEMBERSHIP OPTIONS - CHOOSE ONE $20 Household Membership - up to 2 named adults / older child volunteering at Bell $12 Single Membership - Individual $10 and/or Staff $25 Business Membership PART B. ADDITIONAL DONATION - $25 PER FAMILY SUGGESTED ADDITIONAL DONATION $10 Sponsor / Staff $50 $25 $5 Safety Funds for School Emergency Preparedness * Other Amount Employer Matching Donations: Yes, my employer offers matching funds programs TOTAL PART A + PART B $ APPLICANT INFORMATION Business Name (if applicable) Assists in providing additional funds toward our programs and events I enclosed supporting paperwork I will submit online Company: Name: Email address Email address Email address Address Apartment/Unit # City State ZIP Home Phone Cell Phone CHILDREN AT A.G. BELL ELEMENTARY Cash Received by/amount/date Check Received by/amount/date Please return this application with a check made out to A.G. Bell PTSA in your child's folder or turn in to the school office. You can also join the PTSA at www.agbellptsa.org * Safety Funds are needed to purchase and maintain critical Emergency Preparation materials for our students, in such an event as a natural disaster or lock down. The materials are required by the state, however not funded. A.G. Bell PTSA is a 501 (3) charitable organization and donations are tax deductible. The portion for membership dues that is tax deductible is $5.50 for single membership and $11.00 for household membership. A $10.00 fee plus bank charges PTSA accrues will be charged for returned (NSF) checks.