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Rollercoaster Theatre Application Form
Rollercoaster Theatre Inc. only collects personal information for purposes directly related to our services, events or activities. All information disclosed will be kept confidential.
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Full Name
Your answer
Preferred Name
Your answer
What are your pronouns?
This helps us understand the best way to address you. For example, choose She/Her if you would like us to say "She's celebrating her birthday today!" on your birthday.
She/Her
He/Him
They/Them
I prefer not to say
Other:
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Date of Birth
MM
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DD
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YYYY
Phone Number
Your answer
Email Address
Your answer
Home / Mailing Address
Your answer
Parent or Carer - Name / Phone Number / Email
Your answer
Please describe any previous acting experience.
For example; list any drama groups you are in, or any acting workshops you have done
Your answer
Do you have any previous acting for camera experience?
Previous screen acting experience is not essential to being offered a place in this workshop.
Your answer
Do you have any mobility impairments that will be helpful for us to know about?
For example; do you use a wheelchair, are you vision impaired, etc.
Your answer
Do you have any sensory or behavioural triggers that will be helpful for us to know about?
For example; loud noises, bright lights, new routines, etc.
Your answer
How did you hear about Rollercoaster Theatre?
Your answer
I declare all the above information is true and correct.
Parent/Guardian/Self - Please type name below if you agree.
Your answer
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