小天使拜大年

監護人基本資料 Gardian Information

Guardian Name:

Email:

Phone #:

( ) -

Address:

City:

State:

Zip:

表演小朋友資料 Participant Information (參加資格: 年齡滿12歲以上)

First Name:

Last Name:

Gender:

Male Female

Date of Birth:

/ /

表演場地時間 Performance Locations/ Dates

San Gabriel iTalk BB Store
Dec. 3, 2016 12PM ~ 4PM
140 W Valley Blvd #118D
San Gabriel, CA 91776

Arcadia iTalk BB Store
Dec. 4, 2016 12PM ~ 4PM
1300 S Golden W Ave
Arcadia, CA 91007

Rowland Height iTalk BB Store
Dec. 10, 2016 12PM ~ 4PM
1015 Nogales St #113B
Rowland Heights, CA 91748

Irvine iTalk BB Store
Dec. 11, 2016 12PM ~ 4PM
5414 Walnut Ave D
Irvine, CA 92604

Online Submission
by Dec. 13, 2016
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(Online Submission only)

表演主題 Performance Topic

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