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Get and Sign Kids Entertainer Permit California Form 2015-2021

Date Applicant Information Name: Last Suffix (e.g., Jr., Sr.) First Alias/Maiden Name: Male: Social Security Number: Female: United State Citizen: Middle Yes Date of Birth: No Place of Birth: IF NO: Country of Citizenship California DL or ID #: Telephone #: ( Alien Registration # or I-94# ) Physical Residential Address: Street Address City State Zip Street Address City State Zip Mailing Address (if different): Certification I certify under penalty of perjury under the...

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