Youth Name *

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Parent Name *

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Address *

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Sex *

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Previous Experience (Check All That apply): *

Acting

Dance

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Musical Theater

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In the event you do not get a part, would you be interested in remaining apart of the productions in any of the following areas? (Please check all that interest you) *

Stage Manager

Stage Crew

Lighting

Set Construction

Make-Up

Costumes

Ushering

Advertising / Publicity

Tickets / Concessions

Not Interested

Date Registration Form Completed: *

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