Pre-Registation
Name:
Date of Birth
Age by August 2009
School of Attendance
Grade
Phone Number
Cell Phone
Address
Email Address
Parent/Guardian Name
I Feel That I Am A (check one)
A Good Student
A Fair Student
Struggling
Do you plan to attend college?
Yes
No
Undecided
If so, where?
Are you now, or have you been enrolled in any co-op college classes?
Yes
No
What course of study/degree do you plan to obtain?
List as many school or after school civic or activities that you have participate in
Why do you want to participate in this show, and what do you think you could bring to this type of show?
