Guest Artist Information Form - Arizona Theatre Company

Personal Information

Legal Name *

Date of Birth *

What is your preferred mode of communication? (check all that apply) *

Email
Phone Call
Text
Other

Show you are participating in: *

Private Lives
The Legend of Georgia McBride

Position *

If "Other," Please List

Professional Name

If different from Legal Name

Pronouns *

Name Pronunciation *

Phone Number *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Emergency Contact

Emergency Contact's First Name *

Emergency Contact's Phone Number *

Emergency Contact's Last Name *

Emergency Contact's Email *

AEA Information

Are you a current member of AEA? *

If you are an AEA Member, do you elect to defer part of your salary into your 401k? *

Yes
No
N/A - I'm not an AEA Member

The fillable 401K Deferral Form is available for download below.

Travel

If you are joining us in person from outside of Arizona

Travel ID Name:

If different than legal name

Gender as it appears on travel documents:

Male
Female
Unspecified
Undisclosed

Country of Residence:

Housing:

Do you have year-round housing in the Tucson area? *

Do you have year-round housing in the Phoenix area? *

Flight Information:

Departing airports:

Please list preferences, these will be subject to conversation.

Return airports:

Please list preferences, these will be subject to conversation.

Frequent flyer information (Airline and #):

Seat Preference:

Preferred Departure Time (Outgoing):

Preferred Departure Time (Returning):

Motor Vehicle Record Check (optional):

If you will be driving one of the ATC Vehicles, you are required to clear a Motor Vehicle Record Check. If you opt "yes," you will receive an email to complete your MVR from eFetch/CrimCheck. This is not a background check.

Will you drive an ATC vehicle during your Tucson residency? (Motor Vehicle Record clearance required)

Accounting Information

Please upload your W-9 here.

Drop your file here or click here to upload

For a fillable W-9, visit https://www.irs.gov/pub/irs-pdf/fw9.pdf

Address to send checks (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Local Information

Have you worked at ATC before?

If so, what shows?

Arizona Artists Initiative:

If you live in, were born in, or have any ties to Arizona, please let us know below:

Playbill Biography & Headshot

Please upload a high resolution headshot/professional photograph here:

Drop your file here or click here to upload

Please upload your bio here:

Drop your file here or click here to upload

(please limit bio to 150 words using the following format in this order: ATC credits (or “ATC Debut”); Broadway; off-Broadway; regional & other theatre; film & television. Theatre credits, TV, & film should be italicized; song titles should be in quotations.)

Public Relations

Outreach

Medical Information

Do you have medical insurance? *

Name of Insurance Company:

Medical Issues/Allergies/Other:

Are there any medical issues, allergies, or anything else you would like us to know to better support you?

Insurance Policy #:

Member ID #:

Group # (if applicable):

Social Media

What are your social media handles (so we can follow and tag you)?

Instagram:

Facebook:

Twitter:

YouTube:

TikTok:

Website:

Welcome to Arizona Theatre Company, we cannot wait to work with you!

Personal Information

Emergency Contact

AEA Information

Travel

Housing:

Flight Information:

Motor Vehicle Record Check (optional):

Accounting Information

Local Information

Arizona Artists Initiative:

Playbill Biography & Headshot

Public Relations

Outreach

Medical Information

Medical Issues/Allergies/Other:

Social Media

Welcome to Arizona Theatre Company,
we cannot wait to work with you!