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CKPG TV Talent Registration Form
You must include a current photo. You may also attach your resume or any other relevant information.
| Date: |
| | Name: | Parent/Guardian (if minor): | | Male Female | Year of Birth: | Height: | Build: | | Address: | Email: | | Home Phone: | Work Phone: | Cell Phone: | | Hours/Days of Week Available: |
| Special Skills (juggling, singing, etc):
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| Station use Only: | | Client | Date | Notes | Writer | |
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