2018 Duet - Youth Registration Form $50
The Corners of Brookfield, Wisconsin – Saturday September 29, 2018.

Please complete payment on paypal here: http://bit.ly/2qG2IvL

ABOUT PARTICIPANT 1
1. Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade Enterting in Fall *
Hometown *
Your answer
Any Health Concerns to be Noted
Your answer
ABOUT PARTICIPANT 2
1. Name *
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
Guardian Name *
Your answer
Relationship *
Your answer
Emergency Contact for Day of Event *
Your answer
Phone Number *
Your answer
DETAILS
Best Email Address to Pass Along Details for Event *
Your answer
Please Choose Appropriate Level Below to Determine Payment…
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