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Millikin Basics+ Talent Show Application - Due Friday 12/1/2017
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* Indicates required question
Individual or Group Act
*
(For Group Act, list all students participating in the 'Student Name' box below)
Choose
Individual
Group
Student Name
*
Your answer
Grade
*
Your answer
Parent Name
*
Your answer
Parent Phone
*
Your answer
Parent email
*
Your answer
Talent / Act / Routine (Must include Title of the Music)
*
Your answer
Costume Description
Your answer
Special Equipment (please bring your own)
(school can provide basics : table/chair, piano, microphone, tumbling mats)
Your answer
Words to Music:
(if you are singing, lip-synching, or dancing, please submit the words to the music on another sheet of paper to the school office)
Yes
No
Clear selection
Signature of Parent / Guardian
*
Your answer
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