Voices of Now - Wendt Center Ensemble

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2023 Voices of Now - Wendt Center for Loss & Healing Application

TEST *

Gender

Female

Male

Non-Binary

Prefer not to say

Other:

Clear selection

Date of Birth *

YYYY

Age

Grade: *

School *

Home Address: *

Apt #

City *

State *

Zip Code *

Teen's Cell *

Teen's E-mail *

Grief Counselor (if any)

Name of Parent/Guardian *

Relationship of Parent/Guardian to Teen: *

Parent/Guardian E-Mail: *

Parent/Guardian Contact phone number: *

T-Shirt Size *

XXL

Other:

SCHEDULE OF REHEARSALS

Tuesdays: February 28, 2023 through May 21, 2023 from 6:00pm-7:30pm ***Additional Saturday rehearsals may be added if needed.

Are you able to travel to weekly to in-person rehearsals at Arena Stage (1101 Sixth Street Southwest, DC 20024) *

Yes

List all possible conflicts you have with a Tuesday rehearsal schedule *

GRIEF EXPERIENCE

Name of the person(s) who died: *

Relationship of the person(s) who died to YOU: *

Date(s) of Death: *

Cause(s) of Death: *

What has it been like for you since the death? *

RELEASE FORM

Please fill out the form in this link before submitting the application:

https://waiver.smartwaiver.com/w/shukvmdeyrtzez5uhrmunm/web/

AGREEMENT

By submitting the application you are agreeing that you would like to be in Arena Stage’s Voices of Now: Wendt Center Ensemble. I understand that my attendance at rehearsals and the performance is mandatory.

In addition, I agree to adhere to all DC/CDC COVID-19 Safety policies and protocols when attending in-person rehearsals or retreats.

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