Special Stars Christmas Program 2022
Welcome! Please fill out this form to best serve our participants. 
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Participant full name and age (Example: Ana Lee, 13)

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What’s a good phone number to contact you?
 (Please save mine in your contacts Nitza Salazar (269)921-0829 )

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Participant Clothes Size: Adult or child.

 (example: Child, M ....Adult , S)

We will be providing the costume for the participant 

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What area would the participant would like to be?


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Would you feel comfortable if another member of your family participate with your child? (We have plenty of costumes for everyone)

If yes, What relationship does the companion have with the participant?   

What  costume size this person wears? 

What are the areas that the participant enjoy? (Music, play , be in a group, audience applause )


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What are some things that might make the participant uncomfortable? (Bright lights, loud sounds, large groups of people, audience applause, etc…) 


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How can we serve your son/daughter in case of a stressful moment

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Would the participant be interested in performing? (Singing, dancing, playing an instrument, reciting) 


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If the previous question was YES. Please share with me what would the performance be…  please include the song’s name or any details you have in mind

Is there any extra important information we should know about the participant? 

Is the participant allergic to any food? (We usually have water, sliced apples and goldfish crackers for them during the program is that ok if we provide that for participant?)


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Are you aware of our quiet room? (On backstage we have a quiet room that have few chairs, low light, heavy blankets, bathroom, water and some books in case our participants need a break from the crowd. Anyone from our team will lead you to it) 

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