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George Crockett Academy

Michigan Transparency Reporting

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The Standard.

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Performance Interest Form

First name*

Last name*

Email*

Phone

Organization

Date of Performance*

Start Time*

Time

:HoursMinutes

End Time*

Time

:HoursMinutes

Performance Location*

By submitting this form, you acknowledge that your request does not guarantee a performance and will be dependent on availability.

George Crockett Academy

4851 14th Street
Detroit, MI 48208
(313) 896-6078

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Managed by The Leona Group
Chartered by Northern Michigan University
Accredited by Cognia

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