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Email *
ADULT NAME *
First and Last Name
NAME AND DOB for EACH CHILD (if applicable)
First and Last Name and DOB
PHONE NUMBER *
DATES *
* Are you available for the following DATES? Please list any conflicts in the next section.
YES! NO Conflicts
Yes, WITH Conflicts
NO, Not Available for this Date
Monday 5/16 (Virtual Audition)
Tuesday 5/17 (Virtual Audition)
Wednesday 5/25 (Shoot)
DATE CONFLICTS *
Please note any conflicts for May 16th, 17th, or 25th for ANY of the members of your group (If none, put "none").
COVID 19 VACCINATION STATUS *
VACCINATION DETAILS
If the vaccination status listed above is not the same for ALL members of your group, please provide details here.
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