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