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Application Form for The Centenary Young Performers' Workshop |
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TO
ENROLL: PLEASE PRINT
THIS FORM, COMPLETE IT, AND RETURN IT WITH A HEADSHOT OR SNAP
SHOT, as well as any other information you deem necessary.Video
tapes are welcome. Auditions and/or interviews with Michael Blevins, or his appointee, are required. The Centenary Young Performers' Workshop may be contacted at: Centneary Performing Arts Guild, 400 Jefferson Street, Hacketstown, NJ 07840 (908) 979-0900 E-Mail Rustc@centenarystageco.org |
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Student Name
Social Security Number |
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Address |
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City |
State |
Zip |
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Home Phone |
Work Phone |
E-mail |
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Age Date
of Birth / / |
Weight Height |
Hair Color |
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Instruction |
Song
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Dance
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Instruments
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Theatre Training
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What is your objective? |
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Parent/Guardian
Name |
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Address |
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City
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State |
Zip |
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Home Phone |
Work Phone |
E-mail |
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Please provide two character
references |
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Name |
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Address |
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City
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State |
Zip |
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Home Phone |
Work Phone |
E-mail |
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Name |
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Address |
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City
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State |
Zip |
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Home Phone |
Work Phone |
E-mail |
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TheCentenary Young Performers' Workshop is a not for profit educational
institution that admits students of any race, creed, sex, national,
or ethnic origin. The CYPWis a division of the Centenary Performing Arts Guild that houses the Centenary Stage Company a professional Equity theatre in residence at Centenary College, Hackettstown, New Jersey.
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