ELEVATE Participant Interest Form

3rd Annual Performance Program

ELEVATE

Seattle Theatre Group is bringing community members, historians, spoken word artists and dancers together to lift their voices creatively. ELEVATE will culminate with a night of performance + community conversation to kick off Juneteenth.

STG is seeking middle & high school students to participate in ELEVATE.

We are seeking spoken word and dancers.

GRADES: Middle School & High School

Students will work with mentors
Perform at Moore Theatre * following CDC recommendations
All student participants receive a stipend

Requirements:

Attend all scheduled rehearsals created by mentor
Create a collaborative spoken word piece
Block off June 12-15, 2023, for ON SITE rehearsals at Moore Theatre

Prospective Participant Information

First Name

Last Name

Age:

Date of Birth:

Pronouns:

School:

Grade:

Address

Street Address

Unit/Apartment Number:

City:

Zip Code:

Contact Information

Phone:

Email:

Social Media Handles

Instagram:

Tik Tok:

Snapchat:

Facebook:

Availability

ELEVATE Participants may have other opportunities to perform in STG events.

Select all dates you are available for:

Prospective Participant Optional Demographics Questionnaire

ELEVATE serves diverse youth. For reporting purposes, it is helpful for prospective participants to self-identify in the following categories. Kindly write in what best describes you.

Gender Identity (non-binary, female, male, trans, etc.)

Sexual Orientation (asexual, gay, 2 spirit, hetero, etc.)

Ethnically (Indigenous, Black, Ethiopian, Latinx, etc.)

Living with a Disability (n/a, wheelchair user, neurodivergent, etc.)

I choose to self-identify as...

Decline to self- identify

Do you qualify for the Free or Reduced Lunch Program?

YesNoUnsure

Parent/Guardians

Please note that you will be expected to commit approximately an hour a week to the project virtually. This could take place in the evening during the week or some time on the weekends. I acknowledge that we will be present for all rehearsal and will block off June 12-15, 2023.
(Please keep in mind if you have a graduating senior, this is around graduation time)

Parent/ Guardian First Name:

Parent/ Guardian Last Name:

Signature:

Phone:

Email:

Seattle Theatre Group Education and Community Engagements

is following organizational wide protocols.

By accepting to participate in this program you are agreeing to follow STG’s safety protocols:

STG requires proof of vaccination for entry to all venues and participating programs linked to Seattle Theatre Group. Only children under 12, and people with a medical condition or sincerely held religious belief that prevents vaccination, may participate without proof of vaccination. Individuals who meet those criteria must provide proof of a negative COVID-19 PCR test (date of negative PCR test result must be within 48 hours of performance time). Additionally, masking is required inside the venue. Program participants will be required to wear masks, except while actively eating or drinking.

I agreeI do NOT agree

Parent/Guardian Signature

Random testing can be requested at any point in time during the program, classes and or performances.

I agreeI do NOT agree

Parent/Guardian Signature

For more information about STG's Covid Safety click here.