AMERICAN SINGER SEMINAR - MUSICAL THEATER INTENSIVE

PLEASE PRINT THIS APPLICATION AND MAIL TO THE ADDRESS BELOW

Participants must be eighteen years of age as of June 22, 2007.

Note: Under special circumstances, participants under age eighteen have been accepted if accompanied by an adult guardian
for the duration of the program.

First Name:______________________________ Last Name:______________________________

Address:______________________________________________ State_____ Zip_____________

Phone(s): Day (___)___________________ Evening (___)___________________

Cellular (___)___________________ Fax (___)___________________

Email:________________________________

Voice Type:________________________ [ie: Soprano, Alto, Tenor, Baritone] Age: _______

Current School:_____________________________________ State_______ Year/Degree_________________

Primary Instructor's Name:_____________________________________________________

Telephone:___________________________ E-Mail: ________________________________

List two professional references, their positions, and contact information:

Professional reference #1:_____________________________________________________

Telephone:___________________________ E-Mail: ________________________________

Professional reference #2:_____________________________________________________

Telephone:___________________________ E-Mail: ________________________________

Audition Selections:

(1st)_____________________________________ (2nd)_______________________________

(3rd)_____________________________________

Please list any special needs (dietary, access, etc.):____________________________

Application Fee [$45] enclosed: _________


Send All Applications and Fees to:

Douglas Webster, Program Director
American Singer Seminars
522 S. Prescott St.
Memphis, TN  38111
Telephone: (212) 262-5220