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			Jamatkhana Selection
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			Personal InformationThe information below will be utilized to confirm your qualification and any correspondence 
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			Emergency Contact InformationThe 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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				 A special link to resume the form will be sent to your email address. 
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