Get ready for the Lakewood Variety Show!
January 27th, 2012
It’s going to be “A Magical Night”
Time to sign up your act for auditions!
(There are 2 options for turning in your audition form –
1. Print form below, then fill out form (Write clearly!) and
return it to the main office by DEC. 20th.
2. Download form and return completed form with
necessary information, by email to JandLgross@comcast.net
by Dec. 20th.
(ONLY ONE FORM SHOULD BE RETURNED PER ACT!!) Forms will also be available in main
Auditions will be held January 3rd, 4th and 5th at
Lakewood in the All Purpose Room. Please indicate your first,
second, and third time choice below (by putting the numbers
1, 2, or 3 into the boxes).
If your act has a conflict with these dates, please contact
us by email to set up alternate arrangements.
The Parent In Charge (PIC) will be informed of the
audition time and date over Winter Break, via email, or phone!
If you do not hear back during Winter Break, please email:
Please choose 1st, 2nd, and 3rd choice:
Tuesday 1/03 Wednesday 1/04 Thursday 1/05
Title of act:
(Please Note: Title will be used in program and to announce your act)
Type of act/name of music you are using:
(ie: dance act, comedy, air band, piano, magic, etc….)
please let us know the name of music, so we can avoid repeats.
 Yes, I will bring a copy of my music on a cd to the auditions, cutdown for time (see audition
rules for time allotments based on number of kids in act)
**Designated Parent In Charge (write clearly)
Email address of PIC (write clearly):
Phone number of PIC: _____________________
Names and Grades of all kids involved in the act. (Names and
grades are needed for the program).
(Use additional sheet of paper if needed for more names)