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Talent Age
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Talent Name
(FIRST NAME ONLY)
Parent's Name
Parent's Contact Info
Phone
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Email
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Talent Age
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6
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91
92
93
94
95
96
97
98
99
100
Talent Name
(FIRST NAME ONLY)
Parent's Name
Parent's Contact Info
Phone
Zip
Email
How did you hear about us?
Google
Facebook
Mobile
Tumblr
Pinterest
Instagram
Yahoo!
MSN
Friend
Mall
Yellow Pages
Fair
Other
Pandora
Twitter
myspace.com
