Large Group (10+ participants) Registration $150
Hosted at Sharon Lynne Wilson Center for the Arts in Brookfield, Wisconsin – Saturday September 21, 2017.

Please complete payment through paypal here: http://bit.ly/2rkgqXf

ABOUT PARTICIPANT 1
1. Name *
Your answer
Date of Birth *
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Grade Enterting in Fall *
Hometown *
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Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 2
2. Name *
Your answer
Date of Birth *
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 3
3. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 4
4. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 5
5. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 6
6. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 7
7. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 8
8. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 9
9. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 10
10. Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT PARTICIPANT 10
List any additional participants *
Your answer
ABOUT YOUR PERFORMANCE
Type of Talent you will be competing in (i.e. dance, singing, musical performance, etc.) *
Your answer
Name for your Performance Piece *
Your answer
Estimated Time of Performance (all performances must be 3 minutes or less) *
Your answer
PARENT CONTACT
Guardian Name *
Your answer
Relationship *
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Emergency Contact for Day of Event *
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Phone Number *
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DETAILS
Best Email Address to Pass Along Details for Event *
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