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Jamatkhana Selection
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Personal Information
The information below will be utilized to confirm your qualification and any correspondence
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Emergency Contact Information
The information below will be utilized to contact in case of an emergency.
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Health Information
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Do you have any specific accessibility requirements or special needs that we should be aware of? (e.g., wheelchair access, sign language interpretation, etc.) *
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If you answer yes to above question, then please describe the accommodation requirements.
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Artist Details
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Do you need English language translation support? *
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Will you be attending the Artist Gala on Friday, January 19th at 8pm CST? *
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This sizing information will be utilized for other apparel items included in the memorabilia package
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Regional Program Entry Information
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Performing Arts Questionnaire
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Must be between 30 and 50 words. Currently Entered: 0 words.
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Audio
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Video
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Lighting
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Props
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Instruments
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Additional Details
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By clicking here, I acknowledge that my performance meets the time limit and prop usage guidelines based on the selected category.
Performing Arts Submission Check list (Click Here) *
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By clicking here, I acknowledge that I have read and understood the USIA Submission Guidelines.
Performing Arts Submission Guide Link (Click Here) *
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$0
Total
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A special link to resume the form will be sent to your email address.
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