MIDDLE SCHOOL INTENSIVE - SUMMER 2019

PLEASE NOTE: All participants must submit a video recording of a 32-bar cut from a musical theatre song of your choosing uploaded onto YouTube for review.


Student Information
STUDENT NAME *
STUDENT NAME
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CONTACT INFORMATION
STUDENT CELL PHONE NUMBER
STUDENT CELL PHONE NUMBER
PARENT/GUARDIAN INFORMATION
PARENT / GUARDIAN NAME *
PARENT / GUARDIAN NAME
PARENT / GUARDIAN CELL PHONE NUMBER *
PARENT / GUARDIAN CELL PHONE NUMBER
EMERGENCY CONTACT INFORMATION
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT NAME
EMERGENCY CONTACT PHONE NUMBER *
EMERGENCY CONTACT PHONE NUMBER
ANYTHING ELSE YOU'D LIKE US TO KNOW?