Teen's Information:

Teen's Name:
Teen's Birth Date:
Teen's Gender:	Male Female
Entering Grade:	7th 8th 9th 10th 11th 12th College
School:
Teen's T-Shirt Size:
Describe Teen's previous experience in any of the following specialty areas: Singing (solos), Mime, Dance, Instruments, Flags, Drama, Other:
Describe teen's previous experience working with kids:
Describe any additional leadership experience: