Teens Express Participant Registration Form

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TEENS EXPRESS AUDITION REGISTRATION

Name *

First *

Last *

Email *

Age *

Name of School

Phone

###

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What will you audition? (song, poem, rap, acting, etc.) *

City or Town

When would you like to audition, and do you have transportation to sessions?

Teens Express sessions take place on Tuesday from 6:00 to 8:00 pm. Auditions begin at 7:00.

There is a $25.00 monthly Fee for participants who need to be picked up, and a $50.00 monthly fee for those who require both pick-ups and drop-offs.

Name of a Parent to verify the you have permission to attend a Teens Express Session for Audition.

First

Last

Parent Cell or Land Phone #

###

####

Your audition date will not be scheduled until we have received verbal verification from a parent or guardian.

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