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Auditions Intensive Registration
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Student Information
Please fill out this section with your child's information
Student Name
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Age
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Last Grade Completed
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7th
8th
9th
10th
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12th
Student Phone Number
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Parent Information
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Parent Name
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Parent Phone Number
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Parent Email Address
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Emergency Contact Information
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Emergency Contact Name
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Emergency Contact Relation
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Emergency Contact Phone Number
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Payment Agreement
I understand that I will be responsible for paying the required $100 intensive fee on the first day of class either by cash, check, or through PayPal.
mikesybtodd@bellsouth.net
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