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WBTV Club Survey 2015
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Name
:
A red asterisk (*) indicates required questions.
Phone Number:
*
Shirt size.
*
S
M
L
XL
XXL
Do you have any Allergies?
*
Yes
No
If so please list.
Parent First and Last name.
*
Parent Phone # Include Area Code
*
Which would you prefer?
Film
Broadcast
Animation
All
If you would like to part of a Chuck Challenge (Crazy 8), what would you like to do?
*
Anchor
Camera
Editor
Audio Tech
Light Tech
Producer
Director
Actor/Actress
I don't have a preference. Im in for the experience
I do not want to be a part of a crazy 8
Mr. Rivera
West Broward High School
FL
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