IN Dept of Health "Healthy Baby"
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Name (First and Last) *
Do you plan to audition for this one?
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Would you be willing to work as an Extra for this one?
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If any of your real family members are auditioning too, please list their name(s):
Do you have any conflicts with Sept 2nd/3rd or Sept 9th/10th?  (It would shoot one day, with a rain date the next)
Please list if you have been a principal in any State or political spots in the past 5 years:
If you are auditioning for the Pregnant Woman role, please let us know if you are really pregnant:
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