Please complete the information below and submit.
  • - -
    (Please provide your home phone number if no cell phone number is available.)
  • (Must be retired minimum of 5 yrs. to participate)
  • 1. Please indicate below, how we should acknowledge you in listings.

    Include title and, when applicable, affiliation (i.e. - Director, Retired Educator, Company Manager-Alliance Theater, etc.)
  • 2. Do you have any current affiliations with a high school in this region? If so, please provide the name of the school and the capacity with which you are involved:

  • 3. Please provide a short description of your experience.

  • 4. Are you willing to travel more than 20 miles to judge a performance?

  • 5. Please list any dates you know you will be unavailable (travel, vacations, etc.)