DIAMOND ENTERTAINMENT PRODUCTIONS
                                     
   
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Registration Form
  
   
 

Space is limited!
Sign Up and submit form by
June 21, 2004!

Registration Form

 

 

Name _________________________________________________________________

Address ________________________________________________________________

Telephone Number_______________________________________________________

Email Address___________________________________________________________

Birth Date ______________________________________________________________

Sex __________________________________________________________________

Short Bio______________________________________________________

_________________________________________________________

_________________________________________________________

What talent will you be showcasing? (ie. singing, poetry, dancing, comedy)

________________________________________________________________________

________________________________________________________________________

Will you need special equipment? (If yes, please specify (ie. piano)

________________________________________________________________________

 

 

Signature_________________________________________________Date__________

*Signature is required to complete registration

Parent/Guardian’s Signature (if under 18)_____________________Date___________

*Signature is required to complete registration

 

By signing contestant agrees to terms and conditions set forth by Diamond Entertainment Productions and The Publick Playhouse.

 
   
 

This form can be printed and submitted to
P.O. Box 222
Brentwood, Md. 20722-0222