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Registration
 
Register for our contest by filling out the form below.
 
General Information
 
* First Name: 
 
  First name of first entrant. (In case of group act please use the fields below if applicable.) If there is only one member of the act please skip down to the"Username:" field.
 
* Last Name: 
 
  Last name of first entrant. (In case of group act please use the fields below if applicable.)
 
* Birthday: 
   
 
  All entrants must be between the ages of 13 & 21 at the time of the semi-final performance on September 24, 2011.
 
* Gender: 
 Male      Female
 
  Gender of first entrant. (In case of group act please use the fields below if applicable.)
 
First Name: 
 
  First name of second entrant. (If Applicable)
 
Last Name: 
 
  Last name of second entrant. (If Applicable)
 
Bithday: 
 
  Please enter DOB of second entrant MM/DD/YY. (If Applicable)
 
Gender: 
 
  Please denote the gender of second entrant if applicable (M/F)
 
Fist Name: 
 
  First name of third entrant. (If Applicable)
 
Last Name: 
 
  Last name of third entrant. (If Applicable)
 
Bithday: 
 
  Please enter DOB of third entrant MM/DD/YY. (If Applicable)
 
Gender: 
 
  Please denote the gender of third entrant if applicable (M/F)
 
First Name: 
 
  First name of fourth entrant. (If Applicable)
 
Last Name: 
 
  Last name of fourth entrant. (If Applicable)
 
Bithday: 
 
  Please enter DOB of fourth entrant MM/DD/YY. (If Applicable)
 
Gender: 
 
  Please denote the gender of fourth entrant if applicable (M/F)
 
* Public Name: 
 
  Must be 4-10 characters. If submitting a group act please use one username, registration, and submission.
 
* Address Line 1: 
 
  Semi-Finalists will be notified by mail once all entries are collected.
 
* City: 
 
* State: 
 
* Postal Code: 
 
Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
 
 
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Youth Talent Contest

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