2018 Solo - Youth Registration Form $25
The Corners of Brookfield, Wisconsin – Saturday September 29, 2018.

Please complete payment through paypal: http://bit.ly/2raq9B2

ABOUT YOU
Name of Participant *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted *
Your answer
ABOUT YOUR PERFORMANCE
Talent Show you will be competing in *
Name for your Performance Piece *
Your answer
PARENT CONTACT INFORMATION
Guardian Name *
Your answer
Relationship *
Your answer
Emergency Contact for Day of Event *
Your answer
Phone Number *
Your answer
Email for Event Details *
Your answer
DETAILS
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