Talent Registration Form

Act Name:

Contact Name: Contact # 

Email Address:

Which city is your act located:

Type of Act/Talent:   

        Singer   (#   Type: )   Band (Type of Music )   Juggler

        Magician    Comedian        Dancer(s) (#   Type: )     Musician (Instrument )

        Yo Yo      Puppets      Ventriloquist     Other Talent:

Participants Names and ages:

Name   Age:     Name   Age:

Name   Age:     Name   Age:

Name   Age:     Name   Age:

Name   Age:     Name   Age:

Name   Age:     Name   Age:

Name   Age:     Name   Age:

Other Comments: