How do you want your (or your child's) name listed? (last names will not be listed for anyone under 18 years of age)
What is the age or date of birth of the individual to be listed?
If you are acting on behalf of your child under 18, indicate your full name and relationship to child:
Individual to be listed is: student instructor former student volunteer
If a current student, which class? Twinkling Stars Shining Stars Starlight K-Star ActingDance
If you have a home page, please indicate the full URL:
If you have an Agent or Manager, indicate the name and e-mail address:
List full URL of resume, if applicable:
List full URL of photo, if applicable:
If you do not have a URL for your resume and photo, indicate method of delivery e-mail attachment diskette left at studio
Provide a brief biographical history:
Your e-mail Address? By clicking the "YES" button below you certify that you are over 18 years of age and agree to the following terms and conditions:
I hereby give full consent to Kids Unlimited, its agents, directors and assigns, to use any information, materials and photos I have submitted for myself or on behalf of my child(ren) named above, for publication in the organization's promotional or educational material, advertising and web pages. Further, I grant permission to Kids Unlimited, its agents, directors and assigns, to freely use and publish photos, video and sound recordings of rehearsals and performances for which my child has participated or is included. I hereby indemnify and save harmless Kids Unlimited, its owners, agents, directors, staff and assigns from any and all claims and right for claims, including legal fees, that may arise due to use or publication of said materials.
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