Underground Railroad Youth Ensemble Application

 

Please complete the form below

Name *
Name
Address
Address
My Cell Phone
My Cell Phone
My parent's/guardian's Phone
My parent's/guardian's Phone
Parent's / guardian's Name
Parent's / guardian's Name
Do you have your Last Report Card?
Did you transfer, graduate, drop out, move?)
I am home schooled.
My talents are (check all that apply)
Do you have a Driver's License?
Do you have a State I. D. Card?
Do you have a U.S. Pass Port or enhanced Driver's License/I.D. Card
Have you had you Immunization shots to get into school?
I am a soloist or perform by myself for my talent.
Because I am an artist, my talent is an object like a painting or sculpture.
I am a performer with a group.
Check all the names with whom you are familiar.
Check all the below that apply to you.