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	First name: (Required)	Last name: (Required)

	Street address:



	Town / City:	State / Province:

	Postal / Zip code:	Country:

	Email address: (Required)

	Telephone number: (Required)


	Time Slot Desired:



Sunday, April 22 - 3:30 to 7:30 PM Union Station Kansas City, MO:

Sunday, April 29 - 1:00 to 5:00 PM Jewish Community Center Overland Park, KS:
	Gender: (Required)

	High School & Graduation Date: (Required)

	How did you hear about KC SuperStar?: (Required)

'; wspFN_1781224841_16126_99 ( wspVAR_1781224841_16126_98 );