COACHING REQUEST FORM

Reason for request for individual coaching. Please be specific; if it is for an audition, tell us when and where the
audition will be and with whom. If you have a printed description of requirements, attach a copy to this form.
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Have you already selected your audition piece (i.e., monologue or song) or do you need help selecting
something? If you have something selected, what is it?
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Do you need any other materials? For example, a recorded accompaniment, or a video tape, or recording of your
work? Do you need help putting together any of these materials?
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Is there a particular Hope Academy teaching artist that you would like to work with?
If yes, list the teaching artist(s).
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Private coaching is available at $15/half hour unless other arrangements have been made. Your
coach will call you to schedule a time and place for the coaching and to discuss how much time you
will need to prepare. You will need to pay Hope Academy before the coaching session(s).

Student Name _________________________________________________________________________________________________________________

Address ______________________________________________________________________________________________________________________

School_________________________________________________________Grade __________________________ Age ___________________________

Home Telephone _______________________________________________________________________________________________________________

Parent/Guardian contact information:

Name ________________________________________________________________________________________________________________________
Work Phone ____________________________________________________
Cell Phone _____________________________________________________

If you have any questions, please call Linda Addlespurger

At 412-441-3800 x43
116 S. Highland Ave., Pittsburgh, PA 15206
412/441-3800 www.cathedralofhope.org