PREMIERE FOR KIDS TALENT SHOWCASE REGISTRATION FORM

Name

Work Phone

Home Phone

E-mail

 

Age                

City

State              

Zip Code

What is your Talent?        

The auditions in 2011 are being held on Monday, October 17th.  Between what hours would you like to audition?          

IF YOU WOULD RATHER SPEAK TO A LIVE PERSON call (760) 806-7905 between 10:00 a.m. and 7:00 p.m. daily

When you have completed the form click the SUBMIT button below ONLY ONCE.  You will receive a confirmation via your email within moments of clicking SUBMIT.