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* 1. Name: 

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* 2. Email: 

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* 3. Phone number: 

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* 4. Age: 

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* 5. Describe your act (monologue, singing, improv, scene from a play, etc. Please include titles and/or group names). 

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* 6. If you're singing, how will you provide musical accompaniment? (MP3, CD, etc)

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* 7. We like to use headshots/pictures of our Unplugged Performers in our social media marketing. Will you send a headshot/picture to Rachel at marketing@onpitchperformingarts.com ? 

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