2024 Barberton Christmas Pageant- APPLICATION 

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Email *
Contestants Name
PRONUNCIATION OF NAME- to help us announce it if needed
Age ( as of 11/24/24) Please bring copy of birth certificate day of pageant.
Date of Birth 
MM
/
DD
/
YYYY
Which title will you be competing for - ( age groups may change depending on registration values at the discretion of the director)
Clear selection
Street Address
City 
Zip
Phone
School attending or home schooled ( Must live in or attending the Barberton Local School District)
Current Grade in School
Father's Name/ Guardian's
Mother's Name
Hobbies or Activities Registrant is Involved in: 
One interesting fact about you:
I CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 
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