IF YOUR ACT CONSISTS OF MORE THAN ONE PERSON, CLICK HERE TO GO TO THE GROUP SUBMISSION FORM.
FILL OUT EVERY BIT OF INFORMATION THAT APPLIES TO YOU - 
PLEASE, NO SHORTHAND AND DOUBLE CHECK INFORMATION, THEN CLICK SUBMIT BELOW.
First Name:
Last Name:
Age at time of submission:
Best Phone Number:
(xxx-xxx-xxxx)
Whose phone is it?: 
(Name & Relation)
Best E-Mail x@y.zzz:
Whose email is it?: 
(Name & Relation)
Are you associated with a youth organization or an instructor who helped with your A-RPP?
For an organization, Organization Name:
Youth Take the Stage is a program of
Childrens Playtime Productions
childrensplaytimeproductions.com
CPP Is A Non-profit, Education-Based Theatre Company For Children And Adults
Serving the California Coachella Valley and Beyond Since 1995


SUBMISSION FORM - 
INDIVIDUAL (SOLO) ACT
info@youthtakethestage.com   +++   760/303-1990
Briefly describe the act and provide relevant information (e.g., song title, props/sets, etc.)
Nature of Performance Piece (check all that apply)
If Yes, please provide the following info:
Primary Contact Name:
Style is:
Instrument is:
Genre?: Gymnastics, Baton/Twirling, Magic, Juggling, Stand-Up, Other
Overall Length of your A-RPP:
Length of Video Submitted:
File Name of Video Submitted:
Link to Video Being Submitted:
For an instructor, Instructor Name:
Field of Practice:
(e.g., vocal coach, piano teacher, etc.)
Acting
Singing
Dancing
Specialty Performer
YesNo
Instrumentalist