First Name

Last Name

Gender

Age

Email Address

Contact Number

I am interested in: I am interested in: Performing on stage Helping backstage Both Being a chaperone

I have () years experience in Amateur Dramatics I have () years experience in Amateur Dramatics This is my first time 1 year 2-5 years 6-10 years 11+ years

I have performed with Perryway Players before I have performed with Perryway Players before Yes No

Write any other comments here.

I understand there maybe a possibility the production maybe postponed/rescheduled due to COVID-19 but will be fully committed whilst being flexible with production dates/rehearsals changing at short notice due to government guidelines. I understand there maybe a possibility the production maybe postponed/rescheduled due to COVID-19 but will be fully committed whilst being flexible with production dates/rehearsals changing at short notice due to government guidelines. Agree Disagree