Name

First Name

Last Name

Email

Phone

(###)

###

####

Alias or Nickname

Any Past Experience in Staging?

(If Yes, please let us know for how many years)

Yes

No

Shirt Size

Dietary Restrictions

Referrals

Notes

(Anything you would like us to know?)

Application is not a guarantee of selection.

Attendees Pay own transportation to and from Wilkes Barre
and if needed for any non-MTN event.

Breakfast, lunch and dinner provided by MTN.

Transportation provided from hotel to MTN each day.

Application is not a guarantee of selection.

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