EmailMe Form - UIANE Diwali 2023 - Performers Entry Form

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Primary Contact: *
First Last
Email: *
Cell Phone: *
### - ### - ####
Home Phone:
### - ### - ####
Secondary Contact:
First Last
Email
Cell Phone:
### - ### - ####
Home Phone:
### - ### - ####
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School/Organization/Choreographer/Coordinator Name *
Total # of Performers *
Performance Title: *
(As it would appear in the program)
Name of the Song(s): *
(As it would appear in the program)
Length of Performance: *
(In minutes & Seconds)
Brief BIO about your Group: *
Performers First & Last Names & Ages
One entry per line *
Please assure that the spellings are correct – Program Book’s accuracy is contingent on this information