XIST RISING STARS AUDITION APPLICATION

Child's Name
Gender
 Male 
 Female 
DOB

MM
/
DD
/
YYYY
Height
Weight
Clothing Size

PARENT OR LEGAL GUARDIAN INFO

A description of the section goes here.
Parent Names
Text
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone

###
-
###
-
####
Cell Phone

###
-
###
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####
Email

PERFORMANCE HISTORY

A description of the section goes here.
Does child have professional experience?
Is child currently signed with an Agent or Manager?
If yes, please list company
Representation contract status
 Non-Exclusive 
 Exclusive 

AUDITION PERFORMANCE

A description of the section goes here.
Please list Talent child will be performing at audition
Please give a brief description of performance
I agree that I have thoroughly read the Rules & Regulations before I have completed this form.
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