JumpStart Audition Registration Form

[vc_row][vc_column][trx_title type=”3″]Register to Audition for JumpStart 2k18 below[/trx_title][vc_column_text]

Contestant's Full Name *

Child's Date of Birth *

Contestant's Age *

Contestant's Address *

Name of Contestant's School *

Contestant's Grade or Classification (2018-2019 School Year) *

Will this be an individual or group performance? *

Individual

Group

If group performance, please list all other group members' names below. Otherwise, type "N/A" *

Parent's Full Name (if high school student, otherwise type "N/A") *

Parent's Phone Number (if high school student, otherwise type "N/A") *

Entry Category *

Parent's Email Address (if high school student, otherwise type "N/A") *

If you selected "instrumentalist", what type of instrument will you be playing? *

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