2010 CHEC Conference—Performer Audition Form
Student’s Name, Age & Gender ________________________________________________________
Parents’ Names, Address, & E-Mail ______________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Phone Number (______)____________________Best Time to Call_________________
(Circle one) Speech Vocal Dance Instrument (What instrument?) _______________
Other __________________________
Name of Accompanist (if any) ___________________________________________________________
Title & composer/author of selection (attach list if necessary) __________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Name of music/drama/dance teacher & phone ______________________________________________
Do you have your teacher’s permission to audition? __________________________________________
Have you performed at a previous CHEC Conference? __________ What year(s)? _________________
Which dates would you be able to perform? (Circle all that apply) June 17th 18th 19th
If you are selected to perform this year, the announcer will need some introductory information. Please tell us about yourself:
your goals, interests, hobbies, how long you’ve been home educated, & anything else about you that you would like for us to know.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please send this form along with your audition tape (see Audition Fact Sheet for submission requirements) in time to be RECEIVED by April 15 to:
Marcia Washburn
16251 County Road 25
Ft. Morgan, CO 80701
Questions: Contact Marcia Washburn, General Sessions Coordinator
Call 970-842-4776 or email: Marcia@chec.org