Showcase - Nominee Information
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Student Information
Submit this form ONLY ONCE. If you need to make changes, contact Heidi Sunderhaft, Showcase Executive Producer, at showcase@muskegonisd.org or (231) 457-3273.

This form is DUE FEB 7, 2025.

This information is vital. It will be used in your introduction to the Showcase audience. 

For ease of use, you can use the "Tab" key on your keyboard to advance to the next field.
Category of Participation *
Required
First Name *
Last Name *
What are your preferred pronouns? *
Age *
School Representing *
Grade *
T-Shirt Size *
Primary Phone *
Secondary Phone
Email Address *

Waiver: By participating in West Michigan Student Showcase, you are agreeing to being recorded and/or photographed. Images and videos of you, your likeness, and/or your Student Showcase entry, (i.e. performance, video submission, artwork, literary work , headshot, etc), may be shared in various mediums including but not limited to print, TV, billboard, radio, and online (i.e. westmishowcase.org website, YouTube, social media and other various online outlets.) 

I hereby consent that the Muskegon Area Intermediate School District, 630 Harvey Street, Muskegon, MI 49442 and its entities, to be authorized to use my portrait, picture, photograph and/or image/voice on a video recording, audio recording or film, or any other reproduction of me and to distribute and/or exchange copies of these to promote the programs of the Muskegon Area Intermediate School District, its entities, or the school represented by West Michigan Student Showcase. 

 *
Medical
Please list any allergies, medical conditions, or special needs.
Contact me at the following address: *
Parent/Guardian 1 Information
Parent 1 First Name *
Parent 1 Last Name *
Parent 1 Email Address
Parent 1 Address *
Parent 1 City *
Parent 1 Zip *
Parent 1 Phone 1 *
Parent 1 Phone 2
Parent/Guardian 2 Information
Parent 2 First Name
Parent 2 Last Name
Parent 2 Email Address
If different from Parent 1.
Parent 2 Address
If different from Parent 1.
Parent 2 City
If different from Parent 1.
Parent 2 Zip
If different from Parent 1.
Parent 2 Phone 1
If different than Parent 1.
Parent 2 Phone 2
If different than Parent 1.
Are you nominated for either Academics or Athletics? (Could be in addition to other categories) *
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