Musical Talent Show Application

Contestant Name *

Parent Name *

Parent Mobile Number *

Parent Email Address *

Address Block - US

Address Line 1

Address Line 2

City

Zip/Postal Code

Age *

What Grade Level *

Name of school you attend *

Emergency Contact Name Not at the Event *

Emergency Contact Phone Number *

Option 1: Upload a minimum of 60 second audition video here with the name of the file as the performer.

Option 2: Link to an online 60 second audition video

What equipment will you be using? *

Music Track Only Instrument* Accapella Additional Band Members

*If bringing an instrument(s) please explain.