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Program Information Form

This form is to be used for the Cast and Crew Chairs of I Remember Mama.  Students, please fill out this form as soon as possible.  They need to be turned in for the program by Friday, February 24.

* Name as you want it to appear in the program:
*

Grade:

* Hometown:

Past Theatre Experience On Stage (school, community, church):

Past Theatre Experience Back Stage (school, community, church):

Other Activities Involved In School  (vocal, band, speech, sports, publications, StuCo, class officer and/or officer positions, Mock Trial, etc.):

Other Activities Involved in Community  (as space permits):

If you are a senior, what are your plans for next year?  Please select all that applies and then give the details in the next box.

Use your Ctrl & Shift keys to select multiples.

Please give name & location of College and field of study; Military Branch; or type of Work you want to pursue:

Anything else interesting about you / what you've done (as space permits):

* Enter Your Email Address:

  

Pella Christian High School
300 Eagle Ln
Pella, IA 50219
Phone: 641.628.4440
Fax: 641.628.3530
office@pceagles.org

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