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2018 Solo - Youth Registration Form $25
The Corners of Brookfield, Wisconsin – Saturday September 29, 2018.
Please complete payment through paypal:
http://bit.ly/2raq9B2
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ABOUT YOU
Name of Participant
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade Enterting in Fall
*
Choose
PK
K
1
2
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5
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Hometown
*
Your answer
Any Health Concerns to be Noted
*
Your answer
ABOUT YOUR PERFORMANCE
Talent Show you will be competing in
*
Instrumental
Vocalist
Dance
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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