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* 1. Student(s) Name(s) and age(s)

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* 2. What kind of act would you like to do? (song, dance, skit, musical instrument, magic, etc.)

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* 3. Do you have a specific act already prepared/ready to prepare?

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* 4. Would you like to be part of the group song/dance number?

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* 5. Please list your availability on January 21 between 3:00 - 9:30pm for a 15-minute audition/meeting time to talk about your act for the show.  Once I receive your availability, I will send you a scheduled timeslot.

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* 6. Are you available for both performances, February 25 and 26 at 7:00pm? Please also indicate if you are only available for one performance, and which one.

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* 7. Parent/guardian contact name:

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* 8. Parent/guardian email address and phone number:

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* 9. Student(s) email address and phone number (optional):

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* 10. Do you give The Zephyr Theatre permission to use photos and/or videos with the likeness of your child(ren) in promotional, website, and printed materials?

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