Please enable JavaScript in your browser to complete this form.Participant InformationImportant Note: Participant's contact information will be used only in relation to the production by the production staff. Phone/ text messages will be made at appropriate hours. Name *FirstLast Preferred PronounsExample: He/Him, She/Her, They/Them (you are not obligated to disclose) Age as of January 2026 *Email *Phone *Text Message: Can we communicate with you via text message?YesNoAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you have adequate transportation? *Yes NoCan we provide any additional accessibility accommodations for your proposal interview? Participants are not obligated to disclose any health or physical conditions. The Selma Arts Center will provide accommodations to the best of our abilities. Production ProposalTitle of proposed project Who owns the rights? (exp. MTI, Concord Theatrical, Broadway Licensing)Is this an original piece?YesNoWhat type of Production are you pitching?Family ShowClassic ShowUnconventional ShowSpecial EventSACTeen ShowWhat is the audience rating of your proposed project? GPGPG-13RShow Synopsis: Please give a brief summary of the plot, characters, actor age ranges, historical significance, explanation of audience rating (G, PG, PG-13), and an explanation of how you believe it fits with the ethos of Selma Arts Center. You will be asked to present this information to the Selma Arts Council if selected for an interview. Design Concept: Please explain your vision for set design, Costume concept, lighting/ projection specialties, dance level (minimal, mild, difficult), etc. Feel free to upload a pdf of example images or sketches of your design concepts below. You will be asked to bring visuals during your interview process. Upload a visual of your concept. Click or drag a file to this area to upload. Production Crew: Please include a production crew list of members and designers you plan on bringing on board with you for the production. If you are in need of production staff, the Selma Arts Center has regular members, as well as applications, on retainer and can connect you a production crew if needed. (Production Crew includes Stage manager, Choreographer, Music Director, Costumer, Set/Lighting/Sound Design, etc.) Budget: Please refer to the Proposal Packet to list the level of your budget. You will be asked to submit a more detailed budget during your interview. A workable budget will pre-approved line items will be provided. Small ($8-$10K budget)Medium (up to $15K budget)Large (up to 18K budget) Please email nicolettea@cityofselma.com for a workable budget with pre-approved line items. Directing Experience Note: You do not have to fill out an additional Director Application. Education- Degree Level, Major or Grade LevelDo you have technical theater expeiance? Yes SomeNoPlease include technical training in the theater experience section or resume. List your education experience in theater, literature or communications that are relevant to directing , including workshops:List the qualities that define you as a director: If this is your first time directing what personal qualities do you have that would help you succeed: Would you be able to help supply your own crew to coordinate costumes, props, set pieces, lighting, sound etc.:List your most recent directing and theater experience below (or upload a resume):Upload your résumé Click or drag a file to this area to upload. If you have an arts related resume, please upload here or email to nicolettea@cityofselma.comWould you like to be notified of future SAC related opportunities? *Yes, I would like to be notified No, I would not like to be notified By submitting "yes" your information will be saved in our actor/volunteer database. Participation Waivers (You will be required to sign a hard copy during your audition check in) In consideration of being allowed to be involved in or participate in any theatrical or artistic display, production, promotion or program (Program) conducted, sponsored or facilitated by the City of Selma Arts Center including, without limitation, being filed, photographed or recorded in connection with the Program I the undersigned acknowledge and agree to the following: 1. I KNOWINGLY AND FREELY ASSUME ALL RISKS OF INJURY TO MY PERSON OR PROPERTY, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE OFFICERS OR EMPLOYEES OF THE CITY OF SELMA AND SELMA ARTS CENTER (THE “CITY”), or others, and assume full responsibility for any such injury arising from my involvement or participation in the Program. 2. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself immediately from participation and bring the situation to the attention of the appropriate official, immediately. 3. I, for myself and on behalf of my heirs, assigns personal representatives and next of kin, HEREBY AGREE TO AND DO RELEASE, INDEMNIFY, AND HOLD HARMLESS the City, it’s officers, officials, agents and/or employees, other participants, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the Program (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH, OR PROPERTY DAMAGE that I may suffer, or incur, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. Health Statement I will notify the City, Owner of the property at which the Program is to occur or employees of City, if I suffer from any medical or health condition that may cause injury to myself, others, or may require emergency care during my participation. Media/Photo Statement By signing below, I hereby grant and convey to City, or Property Owner of the property where the Program occurs, all rights, title and interest in and to record my name, image, voice, or statements including any and all photographic images and video or audio recordings made by the City, or by others making such recordings of the Program. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. **Those convicted of a felony or registered as a sex offender will not be permitted to participate or volunteer for the Selma Arts Center** By Signing I verify that I have read and understand this condition to audition/volunteer. Signature *Clear SignatureParent / Guardian Signature *Clear SignatureAssumption of the Risk and Waiver of Liability Relating to Covid-19 I agree that the City of Selma, its officers and employees and agents shall not be liable for any exposure to or infection with Coronavirus and/or COVID 19, or any other contagious or infectious disease arising out of my child’s participation in in the above program and that I will defend and indemnity the City of Selma, its officers, employees or agents from and against any loss, liability , charges and expenses (including attorneys fees) arising out of my child’s exposure to or contraction of any disease arising from participation in the above program. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself including but not limited to, personal injury, disability, illness, damage, loss, claim, liability, death or expense of any kind that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the above program. On my behalf and on the behalf of my child(ren)’s, I hereby release, covenant not to sue, discharge, and hold harmless the City of Selma’s employees, agents, and representatives, of and from any claims, including liabilities, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of the City of Selma, it’s employees, agents, and representatives, whether Coronavirus and/or COVID-19, or any other infectious disease occurs before, during or after participation in any of the City of Selma’s Community services program or by participating in activities held on the City of Selma’s property. Signature *Clear SignatureParent / Guardian Signature *Clear SignatureSubmit