Step Into the Spotlight
Take the stage and shine in a special pre-show performance for Derby Theatre's upcoming production of Kiss Me Quickstep!
Name of Person Filling Out the Form:
*
First Name
Last Name
Name of Person you Wish to Perform (If Applicable):
First Name
Last Name
Enter your Email Address:
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Enter your Telephone Number:
*
Enter you Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell us in no more than 100 words, why you would like to be involved and why we should choose you:
*
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Alternatively, send a 2-minute video telling us why you would like to be involved and why we should choose you:
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