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<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 36pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">YBW3 at St. Ignatius
H.S.<o:p></o:p></FONT></SPAN></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">(You Better Work Musical Theatre Audition Workshop
)<o:p></o:p></FONT></SPAN></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman"><SPAN style="mso-spacerun: yes"> </SPAN>August 1-12
2010<o:p></o:p></FONT></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Monday thru Friday 9a.m. to
3p.m.<o:p></o:p></FONT></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">The Breen Center for the Performing
Arts<o:p></o:p></FONT></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">at St Ignatius High School<o:p></o:p></FONT></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">1911 W. 30<SUP>th</SUP> Street at Lorain
Ave.<o:p></o:p></FONT></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Cleveland, OH<SPAN style="mso-spacerun: yes">
</SPAN>44113<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><FONT face="Times New Roman"><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'">OBJECTIVE:</SPAN></B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'">
</SPAN><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'">To
prepare students with songs, monologues, dance and interview techniques so that
they will feel confident at their future<SPAN style="mso-spacerun: yes">
</SPAN>high school, college and /or community theatre auditions.
<o:p></o:p></SPAN></FONT></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">INSTRUCTORS:<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Mr. Richard Fujimoto<SPAN style="mso-tab-count: 1"> </SPAN>St.
Ignatius H S<SPAN style="mso-tab-count: 2">
</SPAN>ACTING<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Brad Frenette<SPAN style="mso-tab-count: 2">
</SPAN>Penn State<SPAN style="mso-spacerun: yes"> </SPAN>University<SPAN style="mso-tab-count: 1"> </SPAN>ACTING<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Paul-Jordan Jansen<SPAN style="mso-tab-count: 1">
</SPAN>Penn State University<SPAN style="mso-tab-count: 1">
</SPAN>VOICE <o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Dan Higgins<SPAN style="mso-tab-count: 2">
</SPAN>Penn State University<SPAN style="mso-tab-count: 1"> </SPAN>DANCE<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Sarah Ellis<SPAN style="mso-tab-count: 3">
</SPAN>Penn State University<SPAN style="mso-tab-count: 1">
</SPAN>DANCE<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Mr. Kevin Joseph Kelly<SPAN style="mso-tab-count: 1"> </SPAN>St. Ignatius
H.S.<SPAN style="mso-tab-count: 2">
</SPAN>GUEST DIRECTOR<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Mr. Jordan Cooper<SPAN style="mso-tab-count: 6">
</SPAN>MUSIC DIRECTOR<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Fees:<SPAN style="mso-spacerun: yes">
</SPAN>$450.00<SPAN style="mso-spacerun: yes"> </SPAN>by May
14<SUP>th</SUP> 20011<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">**Questions please call Donna 440-532-0065 or <U><SPAN style="COLOR: blue"><A href="mailto:d.jansen@roadrunner.com"><SPAN style="COLOR: blue">d.jansen@roadrunner.com</SPAN></A></SPAN></U><o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman"><SPAN style="mso-spacerun: yes"> </SPAN><o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 24pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">YBW3 at St Ignatius H.S.
<o:p></o:p></FONT></SPAN></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><FONT face="Times New Roman"><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'">Registration
form</SPAN></B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'">
<o:p></o:p></SPAN></FONT></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">________________________________________________________________________<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Student first name<SPAN style="mso-tab-count: 4">
</SPAN>last name<SPAN style="mso-tab-count: 2">
</SPAN>email<SPAN style="mso-tab-count: 2">
</SPAN><o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">________________________________________________________________________<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Street address<SPAN style="mso-tab-count: 5">
</SPAN>city<SPAN style="mso-tab-count: 2">
</SPAN>state<SPAN style="mso-tab-count: 2">
</SPAN>zip<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">________________________________________________________________________<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">School <SPAN style="mso-tab-count: 5">
</SPAN>grade<SPAN style="mso-tab-count: 4">
</SPAN>age<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">________________________________________________________________________<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Phone number<SPAN style="mso-tab-count: 5">
</SPAN>cell number<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">________________________________________________________________________<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Parents first name<SPAN style="mso-tab-count: 4">
</SPAN>last name<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">________________________________________________________________________<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Home phone<SPAN style="mso-tab-count: 4">
</SPAN>work number<SPAN style="mso-tab-count: 3">
</SPAN>cell number<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Emergency Contact<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">------------------------------------------------------------------------------------------<o:p></o:p></FONT></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Name<SPAN style="mso-tab-count: 4">
</SPAN>phone number<SPAN style="mso-tab-count: 3">
</SPAN>relationship<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><FONT face="Times New Roman"><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'">Please
attach students performance resume</SPAN></B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'">.<o:p></o:p></SPAN></FONT></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><U><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><SPAN style="TEXT-DECORATION: none"><FONT face="Times New Roman"> </FONT></SPAN></o:p></SPAN></U></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><U><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><SPAN style="TEXT-DECORATION: none"><FONT face="Times New Roman"> </FONT></SPAN></o:p></SPAN></U></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><U><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><SPAN style="TEXT-DECORATION: none"><FONT face="Times New Roman"> </FONT></SPAN></o:p></SPAN></U></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><U><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><SPAN style="TEXT-DECORATION: none"><FONT face="Times New Roman"> </FONT></SPAN></o:p></SPAN></U></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><U><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Payment Form<o:p></o:p></FONT></SPAN></U></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><U><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><SPAN style="TEXT-DECORATION: none"><FONT face="Times New Roman"> </FONT></SPAN></o:p></SPAN></U></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><U><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><SPAN style="TEXT-DECORATION: none"><FONT face="Times New Roman"> </FONT></SPAN></o:p></SPAN></U></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Please include this form with your registration and
payment<o:p></o:p></FONT></SPAN></B></P>
<P style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal align=center><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><FONT face="Times New Roman"><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'">FEES:
$450.00<SPAN style="mso-spacerun: yes"> </SPAN>check or credit card.
</SPAN></B><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'">(all
credit cards accepted)<o:p></o:p></SPAN></B></FONT></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 14pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">__________________________________________<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Credit card #<SPAN style="mso-spacerun: yes">
</SPAN>ex. Date<SPAN style="mso-tab-count: 3">
</SPAN>CID #<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Make checks payable to:<SPAN style="mso-spacerun: yes"> </SPAN>St. Ignatius High
School<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman"><SPAN style="mso-tab-count: 1">
</SPAN>Please include: YBW3 workshop in memo
space<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Mail payment to:<SPAN style="mso-tab-count: 2">
</SPAN>St Ignatius High School<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman"><SPAN style="mso-tab-count: 4">
</SPAN>Finance Office<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman"><SPAN style="mso-tab-count: 4">
</SPAN>1911 W 30<SUP>th</SUP> St.<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman"><SPAN style="mso-tab-count: 4">
</SPAN>Cleveland, OH. 44113<o:p></o:p></FONT></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; mso-bidi-font-family: 'Tempus Sans ITC'"><o:p><FONT face="Times New Roman"> </FONT></o:p></SPAN></B></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tempus Sans ITC'; FONT-SIZE: 12pt; mso-bidi-font-family: 'Tempus Sans ITC'"><FONT face="Times New Roman">Registration and payment due on or before May<SPAN style="mso-spacerun: yes"> </SPAN>14, 2011</FONT></SPAN></B></P></DIV>
<DIV> </DIV>
<DIV><FONT lang=0 size=2 face=Arial FAMILY="SANSSERIF" PTSIZE="10">Kevin Joseph
Kelly<BR>216-269-3977<BR>KevinJosephKelly@aol.com</FONT></DIV></FONT></BODY></HTML>