EmailMeForm
PROJECT ICE HOCKEY- Mia Role - Girls 8-11 yrs old
NOTE: If you have an agent, please notify them of your interest in this project! Thank you!
Child's Name:
*
First
Last
Parent/Guardian Name:
*
First
Last
Name:
*
First
Last
Contact Phone
*
###
-
###
-
####
Contact Email
*
Verify Email
*
Agent
Agent Phone
###
-
###
-
####
Agent Email
Union Status
*
Non-Union
ACTRA
ACTRA Apprentice
UDA
Current City of Residence
*
Please confirm child has hockey experience and is a confident skater
*
**NOTE** after applying you will receive next steps, please check your junk mail if you did not receive it in your inbox.
Audition photo - please submit headshot
*